Abstract
Sigmoid diverticular disease is a significant health problem, resulting in annual estimated costs of over 2.6 billion dollars and 312,000 hospital admissions in the USA [1, 2]. Most cases of diverticular abscess are managed non-operatively with intravenous antibiotics, and the addition of percutaneous drainage (PD) in selective cases [3–5].
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Sandler RS, Everhart JE, Donowitz M, et al. The burden of selected digestive diseases in the United States. Gastroenterology. 2002;122:1500–11.
Kozak LJ, DeFrances CJ, Hall MJ. National hospital discharge survey: 2004. Vital Health Stat. 2006;13:1–209.
Chapman J, Davies M, Wolff B, et al. Complicated diverticulitis: is it time to rethink the rules? Ann Surg. 2005;242:576–81.
Kumar RR, Kim JT, Haukoos JS, et al. Factors affecting the successful management of intra-abdominal abscesses with antibiotics and the need for percutaneous drainage. Dis Colon Rectum. 2006;49:183–9.
Brandt D, Gervaz P, Durmishi Y, Platon A, Morel P, Poletti PA. Percutaneous Ct scan-guided drainage vs. antibiotherapy alone for hinchey II diverticulitis: a case–control study. Dis Colon Rectum. 2006;49:1533–8.
Rafferty J, Shellito P, Hyman NH, Buie WD. Standards Committee of American Society of Colon and Rectal Surgeons. Practice parameters for sigmoid diverticulitis. Dis Colon Rectum. 2006;49:939–44.
Feingold D, Steele SR, Lee S, Kaiser A, Boushey R, Buie WD, Rafferty JF. Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum. 2014;57:284–94.
Saini S, Mueller PR, Wittenberg J, Butch RJ, Rodkey GV, Welch CE. Percutaneous drainage of diverticular abscess: an adjunct to surgical therapy. Arch Surg. 1986;121:475–8.
Mueller PR, Saini S, Wittenburg J, et al. Sigmoid diverticular abscesses: percutaneous drainage as an adjunct to surgical resection in 24 cases. Radiology. 1987;164:321–5.
Neff CC, van Sonnenberg E, Casola G. Diverticular abscesses: percutaneous drainage. Radiology. 1987;163:15–8.
Stabile BE, Puccio E, van Sonnenberg E, Neff CC. Preoperative percutaneous drainage of diverticular abscesses. Am J Surg. 1990;159:99–104.
Hachigian MP, Honickman S, Eisenstat TE, Rubin RJ, Salvati EP. Computed tomography in the initial management of acute left-sided diverticulitis. Dis Colon Rectum. 1992;35:1123–9.
Ambrosetti P, Robert J, Witzig JA, et al. Incidence, outcome, and proposed management of isolated abscesses complicating acute left-sided colonic diverticulitis: a prospective study of 140 patients. Dis Colon Rectum. 1992;35:1072–6.
Bahadursingh AM, Virgo KS, Kaminski DL, Longo WE. Spectrum of disease and outcome of complicated diverticular disease. Am J Surg. 2003;186:696–701.
Macias LH, Haukoos JS, Dixon MR, et al. Diverticulitis: truly minimally invasive management. Am Surg. 2004;70:932–5.
Ambrosetti P, Chautems R, Soravia C, Peiris-Waser N, Terrier F. Long-term outcome of mesocolic and pelvic diverticular abscesses of the left colon: a prospective study of 73 cases. Dis Colon Rectum. 2005;48:787–91.
Kaiser AM, Jiang JK, Lake JP, et al. The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol. 2005;100:910–7.
Siewert B, Tye G, Kruskal J, et al. ImpactofCT-guided drainage in the treatment of diverticular abscesses: size matters. AJR Am J Roentgenol. 2006;186:680–6.
Durmishi Y, Gervaz P, Brandt D, et al. Results from percutaneous drainage of hinchey stage II diverticulitis guided by computed tomography scan. Surg Endosc. 2006;20:1129–33.
Singh B, May K, Coltart I, Moore NR, Cunningham C. The long-term results of percutaneous drainage of diverticular abscess. Ann R Coll Surg Engl. 2008;90:297–301.
Dharmarajan S, Hunt SR, Birnbaum EH, Fleshman JW, Mutch MG. The efficacy of nonoperative management of acute complicated diverticulitis. Dis Colon Rectum. 2011;54:663–71.
van de Wall BJ, Draaisma WA, Consten EC, et al. Does the presence of abscesses in diverticular disease prelude surgery? J Gastrointest Surg. 2013;17:540–7.
Gaertner WB, Willis DJ, Madoff RD, et al. Percutaneous drainage of colonic diverticular abscess: is colon resection necessary? Dis Colon Rectum. 2013;56:622–6.
Felder SI, Barmparas G, Lynn J, Murrell Z, Margulies DR, Fleshner P. Can the need for colectomy after computed tomography-guided percutaneous drainage for diverticular abscess be predicted? Am Surg. 2013;79:1013–6.
Subhas G, Rana G, Bhullar J, Essad K, Mohey L, Mittal VK. Percutaneous drainage of a diverticular abscess should be limited to two attempts for a resilient diverticular abscess. Am Surg. 2014;80:635–9.
Elagili F, Stocchi L, Ozuner G, Dietz DW, Kiran RP. Outcomes of percutaneous drainage without surgery for patients with diverticular abscess. Dis Colon Rectum. 2014;57:331–6.
Knapp C, Brand M, Orkin B. Management of diverticular abscesses with nonsurgical drainage: Is there a need for interval resection? Dis Colon Rectum. 2015;58:e153–4.
Alvarez JA, Baldonedo RF, Bear IG, et al. Presentation, management and outcome of acute sigmoid diverticulitis requiring hospitalization. Dig Surg. 2007;24:471–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Gaertner, W.B., Madoff, R.D. (2017). Do We Need to Operate on Patients After Successful Percutaneous Drainage of a Diverticular Abscess?. In: Hyman, N., Umanskiy, K. (eds) Difficult Decisions in Colorectal Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-40223-9_26
Download citation
DOI: https://doi.org/10.1007/978-3-319-40223-9_26
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-40222-2
Online ISBN: 978-3-319-40223-9
eBook Packages: MedicineMedicine (R0)