Diverticulitis of the Cecum and Ascending Colon.
- Author:
Jong Hyun KOH
1
Author Information
1. Department of Surgery, Ka-Ya General Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Diverticulitis;
Diverticulectomy
- MeSH:
Abscess;
Appendectomy;
Appendicitis;
Cecum*;
Colon, Ascending*;
Diagnosis;
Diverticulitis*;
Humans
- From:Journal of the Korean Surgical Society
1999;56(6):861-864
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: There are many opinions about the surgical management of diverticulitis of the cecum and ascending colon. METHODS: Thirty-two cases of diverticulitis of the cecum and ascending colon were reviewed, including 5 cases of nonsurgical management. RESULTS: The most common preoperative diagnosis, occurring in 81.5% of surgical cases, was acute appendicitis or periappendiceal abscess. A diverticulectomy was performed in 25 patients (93%), an invagination in 1, and an appendectomy in 1. In the diverticulectomy group, two complications occurred. There were no instances of a missed carcinoma. CONCLUSIONS: I conclude that in those patients in whom a carcinoma can be ruled out, a diverticulectomy is a safe and effective surgical method for management of diverticulitis of the cecum and ascending colon.
