憩室炎的处理

IF 15.7 1区医学 Q1 SURGERY

JAMA surgery Pub Date : 2024-04-17 DOI:10.1001/jamasurg.2023.8104

Olivia A. Sacks, Jason Hall

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引用次数: 0

摘要

憩室炎患者的护理模式正在发生转变。这篇叙述性综述总结了目前治疗左侧无并发症和复杂性憩室炎的证据。观察结果治疗正在向门诊转移，医生正在放弃对无并发症疾病使用抗生素，对憩室炎是否进行选择性手术的决定变得越来越敏感。此外，指导憩室炎手术治疗的最新数据包括采用新的微创和机器人辅助技术。结论和相关性本综述对憩室炎治疗的最佳实践进行了最新总结，以指导结直肠和普通外科医生治疗这种常见疾病的患者。

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Management of Diverticulitis

ImportanceCare of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis. The latest pathophysiology, advances in diagnosis, and prevention strategies are also reviewed.ObservationsTreatment is moving to the outpatient setting, physicians are forgoing antibiotics for uncomplicated disease, and the decision for elective surgery for diverticulitis has become preference sensitive. Furthermore, the most current data guiding surgical management of diverticulitis include the adoption of new minimally invasive and robot-assisted techniques.Conclusions and RelevanceThis review provides an updated summary of the best practices in the management of diverticulitis to guide colorectal and general surgeons in their treatment of patients with this common disease.

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来源期刊

JAMA surgery SURGERY-

CiteScore

20.80

自引率

3.60%

发文量

400

期刊介绍： JAMA Surgery, an international peer-reviewed journal established in 1920, is the official publication of the Association of VA Surgeons, the Pacific Coast Surgical Association, and the Surgical Outcomes Club.It is a proud member of the JAMA Network, a consortium of peer-reviewed general medical and specialty publications.