25. Treatment outcomes of complicated colon diverticular at Hanoi Medical University Hospital
Main Article Content
Abstract
Treatment of complicated colon diverticular includes conservative treatment with antibiotics, abscess drainage or surgery. The objective of the study is to describe the clinical characteristics and outcomes of treatment of complicated colon diverticular at Hanoi Medical University Hospital from January 2020 to December 2023. 196 patients with a mean age of 48.1 ± 14.7 were recruited for this study, 139 male patients (70.9%). The most common symptom is abdominal pain (100%), constant dull pain and corresponding to the location of the inflamed diverticulum. The average duration of abdominal pain before admission to the hospital was 2.84 ± 1.47 days, the sign of peritoneal induction and fever (≥ 37.5oC) are uncommon. Ultrasound has a sensitivity of 49.2%, WSES 2020 classification has 49.0% grade 0; 33.5% grade 1a; 7.2% grade 1b; 6.7% grade 2a; 1.0% grade 2b; 0.5% grade 3 and 2.1% grade 4. There were 188 patients (95.9%) treated conservatively, including 182 patients (96.8%) treated with antibiotics alone, 6 patients (3.2%) combined with percutaneous abscess drainage, 100% achieved good treatment results. 8 patients (4.1%) had surgery, of which 75% had open surgery and 83.3% had Hartmann surgery, with good treatment results of 75%.
Article Details
Keywords
colon diverticular, complications, WSES 2020 classification
References
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