Richtlijn Diagnostiek en behandeling Acute Diverticulitis van het Colon
Richtlijn Diagnostiek en behandeling Acute Diverticulitis van het Colon
Richtlijn Diagnostiek en behandeling Acute Diverticulitis van het Colon
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Aanbeveling<strong>en</strong><br />
Bij hemodynamisch stabiele patiënt<strong>en</strong> met e<strong>en</strong> acute diverticulitis waarvoor e<strong>en</strong> operatieve<br />
<strong>behandeling</strong> is geïndiceerd, heeft resectie <strong>en</strong> primaire anastomosering de voorkeur bov<strong>en</strong> e<strong>en</strong><br />
Hartmann procedure.<br />
Het aanlegg<strong>en</strong> <strong>van</strong> e<strong>en</strong> deviër<strong>en</strong>d ileostoma kan de gevolg<strong>en</strong> <strong>van</strong> e<strong>en</strong> ev<strong>en</strong>tuele naadlekkage<br />
verminder<strong>en</strong>, echter alle<strong>en</strong> als <strong>het</strong> colon ontledigd is.<br />
Literatuur<br />
Abbas, S. (2007). Resection and primary anastomosis in acute complicated diverticulitis, a systematic<br />
review of the literature. Int J Colorectal Dis;22, 351-7.<br />
Constantinides, V.A., Tekkis, P.P., Athanasiou, T., Aziz, O., Purkayastha, S., Remzi, F.H., Fazio, V.W.<br />
(2006). Primary resection with anastomosis vs. Hartmann's procedure in nonelective surgery for<br />
acute colonic diverticulitis: a systematic review. Dis <strong>Colon</strong> Rectum;49, 966-81.<br />
Constantinides, V.A., Heriot, A., Remzi, F., Darzi, A., S<strong>en</strong>apati, A., Fazio, V.W. (2007).. Operative<br />
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Goosz<strong>en</strong>, A.W., Goosz<strong>en</strong>, H.G., Veerman, W., Van Dong<strong>en</strong>, V.M., Hermans, J., Klein Kran<strong>en</strong>barg, E.<br />
(2001). Operative treatm<strong>en</strong>t of acute complications of diverticular disease: primary or secondary<br />
anastomosis after sigmoid resection. Eur J Surg;167, 35-39.<br />
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Vermeul<strong>en</strong>, J., Akkersdijk, G.P., Gosselink, M.P., Hop, W.C., Mannaerts, G.H., <strong>van</strong> der Harst, E., Co<strong>en</strong>e,<br />
P.P., Weidema, W.F., Lange, J.F. (2007). Outcome after emerg<strong>en</strong>cy surgery for acute perforated<br />
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Vermeul<strong>en</strong>, J., Gosselink, M.P., Hop, W.C., Lange, J.F., Co<strong>en</strong>e, P.P., <strong>van</strong> der Harst, E,, Weidema, W.F.,<br />
Mannaerts, G.H. (2009). Ziek<strong>en</strong>huissterfte na e<strong>en</strong> spoedoperatie <strong>van</strong>wege geperforeerde<br />
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Hartmann’s procedure in pati<strong>en</strong>ts undergoing emerg<strong>en</strong>cy left colectomy for perforated diverticulitis.<br />
Colorectal Disease, 12, 54–60.<br />
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