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

Disciplines

Medicine and Health Sciences

PubMedID

35891678

Department(s)

Department of Surgery

Document Type

Article

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