J Korean Surg Soc.
1999 Jun;56(6):861-864.
Diverticulitis of the Cecum and Ascending Colon
- Affiliations
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- 1Department of Surgery, Ka-Ya General Hospital, Seoul, Korea.
Abstract
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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.
