Operative rates in acute diverticulitis with concurrent small bowel obstruction.
Publication/Presentation Date
1-1-2022
Abstract
Background: The prevalence of diverticulitis has steadily increased during the past century. One possible complication of large bowel diverticulitis (LBD) is the concurrent development of a small bowel obstruction (SBO). The literature regarding these joint diagnoses is primarily limited to small case series from the 1950s. Consequently, no official recommendations or recent literature exists to guide decision making.
Methods: This is a retrospective case-control study with 5:1 matching by demographics, comorbidities, and Hinchey classification of patients presenting with concomitant LBD and SBO and patients with LBD alone. The primary outcome assessed was the need for same admission surgical intervention.
Results: Patients with concurrent LBD and SBO were more likely to require surgical intervention (OR 4.2, p
Discussion: Patients with concurrent LBD and SBO are more likely to fail non-operative management. Given this, along with their longer LOS and higher rate of open surgery, earlier surgical intervention may improve outcomes and reduce hospital LOS.
Level of evidence: 4.
Volume
7
Issue
1
First Page
000925
Last Page
000925
ISSN
2397-5776
Published In/Presented At
Glaser J, Farrell MS, Caplan R, Rubino M. Operative rates in acute diverticulitis with concurrent small bowel obstruction. Trauma Surg Acute Care Open. 2022 Jul 6;7(1):e000925. doi: 10.1136/tsaco-2022-000925.
Disciplines
Medicine and Health Sciences
PubMedID
35891678
Department(s)
Department of Surgery
Document Type
Article
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.