... the emerging trend towards conservative treatment. Results: Routine use of in-patient, intravenous antibiotics may not be required and outpatient management is possible for certain patients. Universal colonoscopy examination after uncomplicated acute diverticulitis is controversial but is mandatory after...

... world. To improve the quality of patient care, a guideline for diagnosis and treatment of diverticulitis is needed. Methods: A multidisciplinary working group, representing experts of relevant specialties, was involved in the guideline development. A systematic literature search was conducted to collect...

... with another were identified. Conclusion: Diverticulectomy with myotomy has become the mainstream treatment option for ZD. In certain selected patients, endoscopic diverticulotomy may offer some advantages over open surgery, such as less trauma and a lower complication rate. It is important to individualize...

...). The non-operative group showed lower severe complication rates (p = 0.033), shorter ICU stays (p < 0.001) and durations of mechanical ventilation (p = 0.022). The overall 30-day mortality was 23.4%. Conclusion: Careful clinical evaluation and appropriate, individualized treatment are important...

... ultrasound control with 5 patients developing hepatic hematomas, 3 subcapsular and intrahepatic, 1 only subcapsular and 1 only intrahepatic. All were managed by conservative treatment and followed by ultrasound and computed tomography scanning without rupture, infection or deleterious effect on the liver...

... is still uncertain. Antimicrobial treatment must be directed against both aerobes and anaerobes. Well-established combinations of an aminoglycoside plus an antianaerobic agent have been compared with monotherapy in controlled trials. While most trials have excluded patients with severe peritonitis...

... of fibrin, blood, bacteria and debris of the abdominal cavity. This treatment concept harbors none of the secondary morbidity associated with other treatment concepts. Furthermore, it improves the condition of the septic patient with its peritoneal dialysis effect. Extensive intraoperative lavage is easy...

...E.O. Riecken Symptomatic diverticulosis without signs of inflammation, which needs dietary high-fiber treatment only, may be difficult to discern from diverticulitis with localized phlegmonous inflammation. Diverticulitis with peridiverticular inflammation is typically but not reliably...

..., instructions or products referred to in the content or advertisements. Appendix Tumours Malignant tumours Adenocarcinoma Staging Treatment Dig. Surg. /: 45-49 (1984) Adenocarcinoma of the Appendix A Plea for Right Hemicolectomy M. Guivarc'h Department of Digestive Surgery, Foch Hospital, Suresnes...

... infected pancreatic necroses were found by fine needle aspiration analysis after a mean of 21 ± 3.3 days after the onset of the disease. In these patients antibiotic treatment with imipenem was started immediately after hospital admission for at least 14 days. This new concept and therapeutic approach...

... of these tumours are due to a greater extent to the peptides they secrete than to their actual size. In most patients these symptoms improve or disappear completely with octreotide treatment. Side effects of treatment are mainly mild and do not necessitate withdrawal of the treatment. Octreotide is currently...

... gastrointestinal assistents and radiologists. On these conditions, the complication rate is very low and can usually be medically controlled. Treatment does not compromise any further surgery. Endoscopy makes it possible to avoid or to postpone surgery, the indication for which might become better defined...

.... Addition of a radiation sensitizer (misonidazole) and chemotherapy (FAM) seems to improve the results. Pancreas Cancer Inoperable metastases Treatment Intraoperative radiation Electron beam Linear accelerator Chemotherapy Radiation sensitizers © 1984 S. Karger AG, Basel 1984 Copyright...

.... Colorectal surgery Anastomotic leakage Risk factors Treatment Primary anastomosis Hartmann’s procedure Diverting colostomy Staged procedures Abscess drainage Disconnection anastomosis Anastomotic leakage after colorectal surgery occurs in 5–15% of patients undergoing this type of surgery...

.... Diverticulitis Inguinal hernia Strangulation Treatment Diagnosis On physical examination, the abdomen was soft and mildly distended with a warm, firm, and tender mass in the left lower quadrant. There was no guarding or rebound tenderness. The white blood cell level was 8.62/mm 3 with a left shift...

... of patients with single and multiple abscesses. Methods: From January 1985 to December 1997, 133 patients with this disease were treated in the surgical departments of five hospitals, 97 had a single abscess and 36 had multiple abscesses. Clinical features, methods of treatment, and outcome were assessed...

... to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements. Gastric ulcer Perforation Epidemiology Surgery Treatment Perforations of the gastric ulcer are infrequent complications of peptic ulcer being several times less...

...: RBL is a useful, safe and successful method for treating symptomatic 2nd and 3rd degree hemorrhoids, which can be applied successfully in selected cases with 4th degree hemorrhoids, but with an increased rate of recurrence and additional treatment requirements. Also, RBL seems to be safe in patients...