Dr Faisal Elagili MD
According to the guidelines set forth by major surgical societies,percutaneous drainage is the most appropriate initial treatment for the majority of patients with a large diverticular abscess to avoid an emergency operation and a multistage surgical approach requiring a stoma creation. Although an elective sigmoidectomy is the expected course of treatment for most patients following successful PCD of a diverticular abscess,controversy has arisen regarding the necessity of elective surgery, when nonoperative management has successfully resolved the index attack.We will review the natural course and outcomes of patients with medically treated diverticular abscess
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