ArticleWorld journal of emergency surgery : WJES2019
Determinants of treatment and outcomes of diverticular abscesses.
Article in World journal of emergency surgery : WJES, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 45 citations in OpenAlex.
- Cost-effectiveness of sigmoid resection with primary anastomosis or end colostomy for perforated diverticulitis: an analysis of the randomized Ladies trial.The British journal of surgery · 2020Trial
- Article
- Diverticular Abscess and Percutaneous Drainage Outcomes: A Review of Clinical Practice for the Primary Team.Journal of community hospital internal medicine perspectives · 2025Review
- Exploring the Diet-diverticular Disease Link: Insights from a Comprehensive Mendelian Randomization Study.Current medicinal chemistry · 2025Article
- Clinical relevance of the 3-cm threshold in sigmoid diverticulitis with abscess: consensus or quandary?International journal of colorectal disease · 2024Article
- Towards a tailored approach for patients with acute diverticulitis and abscess formation. The DivAbsc2023 multicentre case-control study.Surgical endoscopy · 2024Article
- Diverticulosis and Diverticulitis: Epidemiology, Pathophysiology, and Current Treatment Trends.Cureus · 2023Review
- Efficacy of endoscopic ultrasound-guided abscess drainage for non-pancreatic abscesses: A retrospective study.JGH open : an open access journal of gastroenterology and hepatology · 2023Article
- Short- and long-term outcomes in the nonoperative treatment of diverticular abscesses.Surgery in practice and science · 2023Article
- Outcomes of surgical treatment of diverticular abscesses after failure of antibiotic therapy.Updates in surgery · 2023Article
- The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly.World journal of emergency surgery : WJES · 2022Review
- Article
- Changing Paradigms in the Management of Acute Uncomplicated Diverticulitis.Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society · 2021Review
- The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021Article
- Drains, Germs, or Steel: Multidisciplinary Management of Acute Colonic Diverticulitis.Digestive diseases and sciences · 2020Review
- Endoscopic ultrasound-guided drainage of intra-abdominal diverticular abscess. A case series.Journal of minimal access surgeryArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Diverticular abscess diameter of 3-6 cm is generally accepted as a cutoff determining whether percutaneous drainage is recommended in addition to antibiotics, but this is not based on high-quality evidence. The aim of this study was to analyze the treatment choices and outcomes of patients with diverticular abscesses. Methods: This was a retrospective cohort study conducted in an academic teaching hospital functioning as a secondary and tertiary referral center. Altogether, 241 patients with computer tomography-verified acute left-sided colonic diverticulitis with intra-abdominal abscess were collected from a database containing all patients treated for colonic diverticulitis in our institution during 2006-2013. The main measured outcomes were need of emergency surgery and 30-day mortality, and these were compared between antibiotics only and percutaneous drainage groups. Treatment choices, including surgery, were also analyzed for all patients. Results: Abscesses under 40 mm were mostly treated with antibiotics alone with a high success rate (93 out of 107, 87%). In abscesses over 40 mm, the use of emergency surgery increased and the use of antibiotics alone decreased with increasing abscess size, but the proportion of successful drainage remained at 13-18% regardless of the abscess size. There were no differences in failure rate, 30-day mortality, the need of emergency surgery, permanent stoma, recurrence, or length of stay in patients treated with percutaneous drainage vs. antibiotics alone, even when groups were adjusted for potential confounders. Conclusions: Percutaneous drainage as a treatment for large abscess does not seem to be superior to the treatment with only antibiotics.
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