Current management of acute diverticulitis: a survey of Australasian surgeons

Show simple item record Jaung, Rebekah en Robertson, J en Rowbotham, D en Bissett, Ian en 2017-06-30T01:28:05Z en 2016-03-11 en
dc.identifier.citation New Zealand Medical Journal 129(1431):23-29 11 Mar 2016 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri en
dc.description.abstract To evaluate the current practice and degree of consensus amongst Australasian surgeons regarding non-surgical management of acute diverticulitis (AD) and to determine whether newer approaches to management are being translated into practice.An online survey was distributed to all Australasian colorectal surgeons and all general surgeons in the Auckland region. Responses were collected over two months and analysed to identify points of consensus and areas of significant difference in opinion between these groups.Responses were received from a total of 99 of 200 (49.5%) colorectal surgeons, and 19 of 36 (52.7%) general surgeons. The Hinchey Classification was the most commonly used measure of disease severity, used by 67 (95.7%) colorectal surgeons and 12 (92.3%) general surgeons. There was lack of consensus around important aspects of AD management, including antibiotic therapy, and use and modality of follow-up imaging. Selective antibiotic therapy and use of anti-inflammatory medication as adjuncts to treatment were practised by a minority of those surveyed.Newer approaches to management were being utilised by some respondents. The lack of consensus regarding management of AD may be a consequence of a paucity of high-level evidence to support specific management approaches, particularly in patients with uncomplicated AD. en
dc.format.medium Electronic en
dc.language eng en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.Details obtained from en
dc.rights.uri en
dc.subject Humans en
dc.subject Diverticulitis, Colonic en
dc.subject Acute Disease en
dc.subject Diverticulitis en
dc.subject Anti-Inflammatory Agents, Non-Steroidal en
dc.subject Anti-Bacterial Agents en
dc.subject Colonography, Computed Tomographic en
dc.subject Colonoscopy en
dc.subject Fluid Therapy en
dc.subject Hospitalization en
dc.subject Severity of Illness Index en
dc.subject Colorectal Surgery en
dc.subject Disease Management en
dc.subject Australasia en
dc.subject General Surgery en
dc.subject Surveys and Questionnaires en
dc.subject Practice Patterns, Physicians' en
dc.title Current management of acute diverticulitis: a survey of Australasian surgeons en
dc.type Journal Article en
pubs.issue 1431 en
pubs.begin-page 23 en
pubs.volume 129 en
dc.rights.holder Copyright: New Zealand Medical Association en
dc.identifier.pmid 27005870 en en
pubs.end-page 29 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 525690 en Medical and Health Sciences en School of Medicine en Surgery Department en
dc.identifier.eissn 1175-8716 en
pubs.record-created-at-source-date 2017-06-30 en
pubs.dimensions-id 27005870 en

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