Elective operation after acute XXXX : is it still mandatory?

@entity1 @entity532 @entity490 @entity4436
AIM: To investigate recurrence rates, patterns and complications after nonoperatively managed @entity532 ( @entity532 ). METHODS: A retrospective study of @entity1 treated for @entity532 was performed. @entity532 was defined on computed tomography by the presence of a localized abscess, pelvic abscess or extraluminal air. For follow-up, @entity1 were contacted by telephone. Numbers of elective surgeries, recurrences and @entity490 were analyzed. RESULTS: A total of 114 @entity1 (median age 57 years (range 29-97)), were admitted for @entity532 . Nine @entity1 required surgical intervention for failure of conservative therapy (Hartmann's procedure: n = 6; resection and colorectal anastomosis: n = 3). Of the 105 remaining @entity1 , 24 (22.9%) underwent elective sigmoid resection. The 81 (71%) non-operated @entity1 were all contacted after a median follow-up of 32 mo (4-63). Among them, six had developed a recurrent episode of @entity4436 at a median follow-up of 12 mo (6-36); however, no @entity1 required hospitalization. Sixty-eight @entity1 (84%) were asymptomatic and 13 (16%) had recurrent @entity490 . CONCLUSION: Conservative policy is feasible and safe in 71% of cases, with a low medium-term recurrence risk.
