Management of Diverticulitis in 2017
作者: Sarah E. DeeryRichard A. Hodin
作者单位: 1Harvard Medical School
刊名: Journal of Gastrointestinal Surgery, 2017, Vol.21 (10), pp.1732-1741
来源数据库: Springer Nature Journal
DOI: 10.1007/s11605-017-3404-3
关键词: DiverticulitisColectomyHartmann
英文摘要: Diverticulitis has become increasingly more common in the 20th century and is now one of the most frequent indications for gastrointestinal tract-related hospitalizations. The spectrum of clinical presentation can vary widely from mild, uncomplicated disease that can be managed as an outpatient, to complicated diverticulitis with peritonitis and sepsis. Historically, all patients with diverticulitis were managed with, at a minimum, a course of antibiotics, with many patients undergoing urgent or emergent surgery with a sigmoid colectomy, end colostomy, and oversewn rectosigmoid “Hartmann’s” stump. However, the treatment paradigm has shifted away from more aggressive surgical management over the years, with recent literature supporting the notion that nonoperative management may...
原始语种摘要: Diverticulitis has become increasingly more common in the 20th century and is now one of the most frequent indications for gastrointestinal tract-related hospitalizations. The spectrum of clinical presentation can vary widely from mild, uncomplicated disease that can be managed as an outpatient, to complicated diverticulitis with peritonitis and sepsis. Historically, all patients with diverticulitis were managed with, at a minimum, a course of antibiotics, with many patients undergoing urgent or emergent surgery with a sigmoid colectomy, end colostomy, and oversewn rectosigmoid “Hartmann’s” stump. However, the treatment paradigm has shifted away from more aggressive surgical management over the years, with recent literature supporting the notion that nonoperative management may...
全文获取路径: Springer Nature  (合作)
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来源刊物:
影响因子:2.361 (2012)

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关键词翻译
关键词翻译
  • rectosigmoid 直肠乙状部
  • colostomy 结肠造口术
  • literature 文献
  • uncomplicated 简单
  • stump 残株
  • aggressive 侵蚀的
  • diverticulitis 憩室炎
  • peritonitis 腹膜炎
  • nonoperative 不工作的
  • management 管理