Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment

H. E. Bolkenstein; S. T. van Dijk; E. C. J. Consten; B. G. F. Heggelman; C. M. A. Hoeks; I. A. M. J. Broeders; M. A. Boermeester; W. A. Draaisma

doi:10.1007/s11605-019-04153-9

Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment

H. E. Bolkenstein^*
, S. T. van Dijk
, E. C. J. Consten
, B. G. F. Heggelman
, C. M. A. Hoeks
, I. A. M. J. Broeders
, M. A. Boermeester
, W. A. Draaisma

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

29 Citations (Scopus)

93 Downloads (Pure)

Abstract

BackgroundRecently published studies advocate a conservative approach with observation and antibiotic treatment in diverticulitis patients with pericolic air on computed tomography (CT). The primary aim of this study was to assess the clinical course of initially conservatively treated diverticulitis patients with isolated pericolic air and to identify risk factors for conservative treatment failure. The secondary aim was to assess the outcome of non-antibiotic treatment.MethodsPatient data from a retrospective cohort study on risk factors for complicated diverticulitis were combined with data from the DIABOLO trial, a randomised controlled trial comparing non-antibiotic with antibiotic treatment in patients with uncomplicated diverticulitis. The present study identified all patients with Hinchey 1A diverticulitis with isolated pericolic air on CT. Pericolic air was defined as air located

Original language	English
Pages (from-to)	2269-2276
Number of pages	8
Journal	Journal of Gastrointestinal Surgery
Volume	23
Issue number	11
DOIs	https://doi.org/10.1007/s11605-019-04153-9
Publication status	Published - Nov-2019
Externally published	Yes

Keywords

Diverticulitis
Pericolic air
Conservative treatment
Antibiotic treatment
OUTPATIENT TREATMENT
UNCOMPLICATED DIVERTICULITIS
COMPLICATED DIVERTICULITIS
NONOPERATIVE MANAGEMENT
DISEASE
RISK

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Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic TreatmentFinal publisher's version, 319 KBLicence: CC BY

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Bolkenstein, H. E., van Dijk, S. T., Consten, E. C. J., Heggelman, B. G. F., Hoeks, C. M. A., Broeders, I. A. M. J., Boermeester, M. A., & Draaisma, W. A. (2019). Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment. Journal of Gastrointestinal Surgery, 23(11), 2269-2276. https://doi.org/10.1007/s11605-019-04153-9

@article{60985182ea47437d9eecacc0a7a6cee4,

title = "Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment",

abstract = "BackgroundRecently published studies advocate a conservative approach with observation and antibiotic treatment in diverticulitis patients with pericolic air on computed tomography (CT). The primary aim of this study was to assess the clinical course of initially conservatively treated diverticulitis patients with isolated pericolic air and to identify risk factors for conservative treatment failure. The secondary aim was to assess the outcome of non-antibiotic treatment.MethodsPatient data from a retrospective cohort study on risk factors for complicated diverticulitis were combined with data from the DIABOLO trial, a randomised controlled trial comparing non-antibiotic with antibiotic treatment in patients with uncomplicated diverticulitis. The present study identified all patients with Hinchey 1A diverticulitis with isolated pericolic air on CT. Pericolic air was defined as air located",

keywords = "Diverticulitis, Pericolic air, Conservative treatment, Antibiotic treatment, OUTPATIENT TREATMENT, UNCOMPLICATED DIVERTICULITIS, COMPLICATED DIVERTICULITIS, NONOPERATIVE MANAGEMENT, DISEASE, RISK",

author = "Bolkenstein, \{H. E.\} and \{van Dijk\}, \{S. T.\} and Consten, \{E. C. J.\} and Heggelman, \{B. G. F.\} and Hoeks, \{C. M. A.\} and Broeders, \{I. A. M. J.\} and Boermeester, \{M. A.\} and Draaisma, \{W. A.\}",

year = "2019",

month = nov,

doi = "10.1007/s11605-019-04153-9",

language = "English",

volume = "23",

pages = "2269--2276",

journal = "Journal of Gastrointestinal Surgery",

issn = "1091-255X",

publisher = "Springer",

number = "11",

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TY - JOUR

T1 - Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment

AU - Bolkenstein, H. E.

AU - van Dijk, S. T.

AU - Consten, E. C. J.

AU - Heggelman, B. G. F.

AU - Hoeks, C. M. A.

AU - Broeders, I. A. M. J.

AU - Boermeester, M. A.

AU - Draaisma, W. A.

PY - 2019/11

Y1 - 2019/11

N2 - BackgroundRecently published studies advocate a conservative approach with observation and antibiotic treatment in diverticulitis patients with pericolic air on computed tomography (CT). The primary aim of this study was to assess the clinical course of initially conservatively treated diverticulitis patients with isolated pericolic air and to identify risk factors for conservative treatment failure. The secondary aim was to assess the outcome of non-antibiotic treatment.MethodsPatient data from a retrospective cohort study on risk factors for complicated diverticulitis were combined with data from the DIABOLO trial, a randomised controlled trial comparing non-antibiotic with antibiotic treatment in patients with uncomplicated diverticulitis. The present study identified all patients with Hinchey 1A diverticulitis with isolated pericolic air on CT. Pericolic air was defined as air located

AB - BackgroundRecently published studies advocate a conservative approach with observation and antibiotic treatment in diverticulitis patients with pericolic air on computed tomography (CT). The primary aim of this study was to assess the clinical course of initially conservatively treated diverticulitis patients with isolated pericolic air and to identify risk factors for conservative treatment failure. The secondary aim was to assess the outcome of non-antibiotic treatment.MethodsPatient data from a retrospective cohort study on risk factors for complicated diverticulitis were combined with data from the DIABOLO trial, a randomised controlled trial comparing non-antibiotic with antibiotic treatment in patients with uncomplicated diverticulitis. The present study identified all patients with Hinchey 1A diverticulitis with isolated pericolic air on CT. Pericolic air was defined as air located

KW - Diverticulitis

KW - Pericolic air

KW - Conservative treatment

KW - Antibiotic treatment

KW - OUTPATIENT TREATMENT

KW - UNCOMPLICATED DIVERTICULITIS

KW - COMPLICATED DIVERTICULITIS

KW - NONOPERATIVE MANAGEMENT

KW - DISEASE

KW - RISK

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DO - 10.1007/s11605-019-04153-9

M3 - Article

SN - 1091-255X

VL - 23

SP - 2269

EP - 2276

JO - Journal of Gastrointestinal Surgery

JF - Journal of Gastrointestinal Surgery

IS - 11

ER -

Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment

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