Quality of Life in Uncomplicated Recurrent Diverticulitis: Surgical Vs. Conservative Treatment

Overview

Journal Sci Rep

Specialty Science

Date 2020 Jun 26

PMID 32581229

Citations 9

Authors

Viktor Justin

Selman Uranues

Hans Rabl

Abe Fingerhut

Affiliations

Soon will be listed here.

Abstract

Elective sigmoid colectomy for recurrent uncomplicated diverticulitis remains controversial and is decided on an individual basis. Eighty patients treated conservatively (44 patients) or by elective surgery (36 patients) for recurrent uncomplicated diverticulitis were contacted and assessed for quality of life. The mean difference in quality of life scores was greater after surgery (overall + 2.14%, laparoscopic resection +4.95%, p = 0.36 and p = 0.11, respectively) as compared to conservative management. Female patients undergoing laparoscopic resection had statistically significantly higher quality of life scores than women treated conservatively (+8.98%; p = 0.049). Twenty-eight of 29 responding patients stated that they were highly satisfied and would have the operation done again. Elective sigmoidectomy is a valid treatment option for recurrent uncomplicated diverticulitis in terms of quality of life. Quality of life improved most if surgery was performed laparoscopically, especially in women.

Citing Articles

Colonic resection and stoma formation due to chronic diverticular disease: nationwide population-based cohort study.

Dalby H, Erichsen R, Gotschalck K, Emmertsen K BJS Open. 2025; 9(2).

PMID: 40037806 PMC: 11879527. DOI: 10.1093/bjsopen/zraf008.

Diagnosis and treatment experience of cecal diverticulitis in six pediatric patients.

Li X, Liu W, Zhang S, Liu H Front Pediatr. 2024; 12:1478296.

PMID: 39726533 PMC: 11669651. DOI: 10.3389/fped.2024.1478296.

Individualized care or ad hoc care: Is evidence based, personalized care for diverticulitis currently possible?.

Stewart D Surg Open Sci. 2024; 19:230-231.

PMID: 38846776 PMC: 11154693. DOI: 10.1016/j.sopen.2024.05.007.

Concomitant diverticulosis among patients undergoing liver transplantation. Does it influence the length of hospitalization after the procedure?.

Menzyk T, Skladany L, Adamcova-Selcanova S, Vnencakova J, Zilincanova D, Bystrianska N Clin Exp Hepatol. 2024; 9(4):344-350.

PMID: 38774193 PMC: 11103805. DOI: 10.5114/ceh.2023.132255.

Symptomatic Uncomplicated Diverticular Disease (SUDD): Practical Guidance and Challenges for Clinical Management.

Calini G, Abd El Aziz M, Paolini L, Abdalla S, Rottoli M, Mari G Clin Exp Gastroenterol. 2023; 16:29-43.

PMID: 37013200 PMC: 10066719. DOI: 10.2147/CEG.S340929.

References

LEBIS J . [Heart arrest during an anesthesia by Propanidide]. Anesth Analg (Paris). 1968; 25(6):677-8. View

Nguyen G, Sam J, Anand N . Epidemiological trends and geographic variation in hospital admissions for diverticulitis in the United States. World J Gastroenterol. 2011; 17(12):1600-5. PMC: 3070132. DOI: 10.3748/wjg.v17.i12.1600. View

Kohler L, Sauerland S, Neugebauer E . Diagnosis and treatment of diverticular disease: results of a consensus development conference. The Scientific Committee of the European Association for Endoscopic Surgery. Surg Endosc. 1999; 13(4):430-6. DOI: 10.1007/s004649901007. View

Eglinton T, Nguyen T, Raniga S, Dixon L, Dobbs B, Frizelle F . Patterns of recurrence in patients with acute diverticulitis. Br J Surg. 2010; 97(6):952-7. DOI: 10.1002/bjs.7035. View

Hall J, Roberts P, Ricciardi R, Read T, Scheirey C, Wald C . Long-term follow-up after an initial episode of diverticulitis: what are the predictors of recurrence?. Dis Colon Rectum. 2011; 54(3):283-8. DOI: 10.1007/DCR.0b013e3182028576. View

Peppas G, Bliziotis I, Oikonomaki D, Falagas M . Outcomes after medical and surgical treatment of diverticulitis: a systematic review of the available evidence. J Gastroenterol Hepatol. 2007; 22(9):1360-8. DOI: 10.1111/j.1440-1746.2007.05118.x. View

Collins D, Winter D . Elective resection for diverticular disease: an evidence-based review. World J Surg. 2008; 32(11):2429-33. DOI: 10.1007/s00268-008-9705-7. View

Rafferty J, Shellito P, Hyman N, Buie W . Practice parameters for sigmoid diverticulitis. Dis Colon Rectum. 2006; 49(7):939-44. DOI: 10.1007/s10350-006-0578-2. View

Ritz J, Grone J, Engelmann S, Lehmann K, Buhr H, Holmer C . [What is the actual benefit of sigmoid resection for acute diverticulitis? : Functional outcome after surgical and conservative treatment]. Chirurg. 2013; 84(8):673-80. DOI: 10.1007/s00104-013-2485-0. View

10.

van Dijk S, Daniels L, de Korte N, Stockmann H, Vrouenraets B, Consten E . Quality of Life and Persistent Symptoms After Uncomplicated Acute Diverticulitis. Dis Colon Rectum. 2019; 62(5):608-614. DOI: 10.1097/DCR.0000000000001361. View

11.

Comparato G, Fanigliulo L, Aragona G, Cavestro G, Cavallaro L, Leandro G . Quality of life in uncomplicated symptomatic diverticular disease: is it another good reason for treatment?. Dig Dis. 2007; 25(3):252-9. DOI: 10.1159/000103896. View

12.

Jurowich C, Germer C . Elective Surgery for Sigmoid Diverticulitis - Indications, Techniques, and Results. Viszeralmedizin. 2016; 31(2):112-6. PMC: 4789971. DOI: 10.1159/000381500. View

13.

Kaiser A, Jiang J, Lake J, Ault G, Artinyan A, Gonzalez-Ruiz C . The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol. 2005; 100(4):910-7. DOI: 10.1111/j.1572-0241.2005.41154.x. View

14.

Klarenbeek B, de Korte N, van der Peet D, Cuesta M . Review of current classifications for diverticular disease and a translation into clinical practice. Int J Colorectal Dis. 2011; 27(2):207-14. PMC: 3267934. DOI: 10.1007/s00384-011-1314-5. View

15.

Levack M, Savitt L, Berger D, Shellito P, Hodin R, Rattner D . Sigmoidectomy syndrome? Patients' perspectives on the functional outcomes following surgery for diverticulitis. Dis Colon Rectum. 2011; 55(1):10-7. DOI: 10.1097/DCR.0b013e31823907a9. View

16.

Miernik A, Farin E, Kuehhas F, Karcz W, Keck T, Wengenmayer T . [Freiburg index of patient satisfaction: interdisciplinary validation of a new psychometric questionnaire to describe treatment-related patient satisfaction]. Chirurg. 2013; 84(6):511-8. DOI: 10.1007/s00104-012-2441-4. View

17.

Andeweg C, Berg R, Staal J, Ten Broek R, Goor H . Patient-reported Outcomes After Conservative or Surgical Management of Recurrent and Chronic Complaints of Diverticulitis: Systematic Review and Meta-analysis. Clin Gastroenterol Hepatol. 2015; 14(2):183-90. DOI: 10.1016/j.cgh.2015.08.020. View

18.

Polese L, Bressan A, Savarino E, Vecchiato M, Turoldo A, Frigo A . Quality of life after laparoscopic sigmoid resection for uncomplicated diverticular disease. Int J Colorectal Dis. 2018; 33(5):513-523. DOI: 10.1007/s00384-018-3005-y. View

19.

Pasternak I, Wiedemann N, Basilicata G, Melcher G . Gastrointestinal quality of life after laparoscopic-assisted sigmoidectomy for diverticular disease. Int J Colorectal Dis. 2011; 27(6):781-7. DOI: 10.1007/s00384-011-1386-2. View

20.

Forgione A, Leroy J, Cahill R, Bailey C, Simone M, Mutter D . Prospective evaluation of functional outcome after laparoscopic sigmoid colectomy. Ann Surg. 2009; 249(2):218-24. DOI: 10.1097/SLA.0b013e318195c5fc. View