Colonic diverticular @entity548 with XXXX may need elective colectomy.

@entity1 @entity66 @entity548 @entity6 @entity3811 @entity254 @entity17825 @entity694 @entity204
BACKGROUND: Colonic diverticular @entity548 can usually be managed with conservative treatment. However, in a selected group of @entity1 under conditions of recurrent, persistent @entity548 influencing quality of life or causing life-threatening shock, it should be managed with surgery. This is a retrospective study to clarify the risk factors relating to colectomy for @entity694 . METHODS: Between 1997 and 2005, a retrospective chart review of 73 @entity1 with @entity694 was undertaken. Univariate and multivariate logistic regression analyses were performed to identify the relevant risk factors correlating to colectomy. RESULTS: The mean age of the 73 @entity1 was 70 years (range, 22-90 years). Most @entity694 could be managed with conservative treatment (n = 63, 86.3%), and urgent colectomy was performed in ten @entity1 (13.7%). The @entity548 site could not be well identified in six of those ten @entity1 and so underwent total abdominal colectomy with @entity254 , and the other four underwent right hemicolectomy after a diagnosis of right-sided @entity17825 with @entity548 . There were two deaths in the surgical group and one @entity204 in the nonsurgical group. The overall mortality rate in the series was 4.11% and 20% among @entity1 undergoing urgent colectomy. Multiple logistic regression analysis showed that the presence of comorbidities and daily maximum blood transfusion requirement were risk factors for urgent colectomy for @entity694 . CONCLUSION: Preoperative @entity66 may increase operative risk in urgent surgery, and the outcome is poor. To avoid high mortality and morbidity relating to the urgent colectomy, we suggest that @entity1 of @entity694 with @entity66 , especially subgroups of @entity1 with @entity6 and @entity3811 , may need early elective colectomy.
