Long-term quality of life after conservative treatment versus surgery for different stages of acute sigmoid diverticulitis

Purpose It is controversial whether patients fare better with conservative or surgical treatment in certain stages of acute diverticulitis (AD), in particular when phlegmonous inflammation or covered micro- or macro-perforation are present. The aim of this study was to determine long-term quality of...

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Bibliographic Details
Published in:International journal of colorectal disease 2018-03, Vol.33 (3), p.317-326
Main Authors: Brandlhuber, Martina, Genzinger, Christian, Brandlhuber, Bernhard, Sommer, Wieland H., Müller, Mario H., Kreis, Martin E.
Format: Article
Language:English
Subjects:
Advertising executives
Care and treatment
Classification
Computed tomography
Diverticulitis
Exceptional children
Gastroenterology
Health aspects
Hepatology
Internal Medicine
Medicine
Medicine & Public Health
Original Article
Proctology
Quality of life
Surgery
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Summary:Purpose It is controversial whether patients fare better with conservative or surgical treatment in certain stages of acute diverticulitis (AD), in particular when phlegmonous inflammation or covered micro- or macro-perforation are present. The aim of this study was to determine long-term quality of life (QoL) for AD patients who received either surgery or conservative treatment in different stages. Methods We included patients treated for AD at the University Hospital Grosshadern, Munich, Germany, between January 1, 2000, and December 31, 2010. Patients were classified by the Hansen and Stock (HS) classification, the modified Hinchey classification, and the German classification of diverticular disease (CDD). Pre-therapeutic staging was based on multidetector computed tomography. Long-term QoL was assessed by the Cleveland Global Quality of Life (CGQL) questionnaire, the Short Form 36 (SF-36), and the Gastrointestinal Quality of Life Index (GIQLI). Data are mean ± SEM. Results Patients with phlegmonous AD (HS type 2a, Hinchey Ia and CDD 1b, respectively) had a better long-term QoL on the GIQLI when they were operated (78.5 ± 2.5 vs. 70.7 ± 2.1; p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-018-2969-y