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Multicenter Study
. 2024 Feb 19;28(1):34.
doi: 10.1007/s10151-023-02906-y.

Risk factors for severe morbidity and definitive stoma after elective surgery for sigmoid diverticulitis: a multicenter national cohort study

C Sabbagh  1 , L Beyer-Berjot  2 , M Ouaissi  3 , P Zerbib  4 , V Bridoux  5 , G Manceau  6 , M Karoui  6 , Y Panis  7 , E Buscail  8 , A Venara  9 , I Khaoudy  10 , M Gaillard  11 , P Ortega-Deballon  12 , M Viennet  12 , A Thobie  13 , B Menahem  14 , C Eveno  15 , C Bonnel  16 , J-Y Mabrut  17 , B Badic  18 , C Godet  19 , Y Eid  20 , E Duchalais  21 , Z Lakkis  22 , E Cotte  23 , A Laforest  24 , V Defourneaux  25 , L Maggiorri  26 , L Rebibo  27 , N Christou  28 , A Talal  29 , D Mege  30 , C Bonnamy  31 , A Germain  32 , F Mauvais  33 , C Tresallet  34 , O Ahmed  34 , J-M Regimbeau  35 , J Roudie  36 , A Laurent  37 , B Trilling  38 , M Bertrand  39 , D Massalou  40 , B Romain  41 , H Tranchart  42 , U Giger  43 , O Dejardin  43   44 , A Pellegrin  35 , A Alves  14 ; French Surgical Association
Collaborators, Affiliations
Multicenter Study

Risk factors for severe morbidity and definitive stoma after elective surgery for sigmoid diverticulitis: a multicenter national cohort study

C Sabbagh et al. Tech Coloproctol. .

Abstract

Background: In the decision to perform elective surgery, it is of great interest to have data about the outcomes of surgery to individualize patients who could safely undergo sigmoid resection. The aim of this study was to provide information on the outcomes of elective sigmoid resection for sigmoid diverticular disease (SDD) at a national level.

Methods: All consecutive patients who had elective surgery for SDD (2010-2021) were included in this retrospective, multicenter, cohort study. Patients were identified from institutional review board-approved databases in French member centers of the French Surgical Association. The endpoints of the study were the early and the long-term postoperative outcomes and an evaluation of the risk factors for 90-day severe postoperative morbidity and a definitive stoma after an elective sigmoidectomy for SDD.

Results: In total, 4617 patients were included. The median [IQR] age was 61 [18.0;100] years, the mean ± SD body mass index (BMI) was 26.8 ± 4 kg/m2, and 2310 (50%) were men. The indications for surgery were complicated diverticulitis in 50% and smoldering diverticulitis in 47.4%. The procedures were performed laparoscopically for 88% and with an anastomosis for 83.8%. The severe complication rate on postoperative day 90 was 11.7%, with a risk of anastomotic leakage of 4.7%. The independent risk factors in multivariate analysis were an American Society of Anesthesiologists (ASA) score ≥ 3, an open approach, and perioperative blood transfusion. Age, perioperative blood transfusion, and Hartmann's procedure were the three independent risk factors for a permanent stoma.

Conclusions: This series provides a real-life picture of elective sigmoidectomy for SDD at a national level.

Trial registration: Comité National Information et Liberté (CNIL) (n°920361).

Keywords: Definitive stoma; Diverticulitis; Morbidity; Surgery.

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References

    1. Floch MH, Bina I (2004) The natural history of diverticulitis: fact and theory. J Clin Gastroenterol 38:S2–S7 - DOI - PubMed
    1. Peery AF, Dellon ES, Lund J et al (2012) Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology 143(1179–87):e3
    1. Hall J, Hardiman K, Lee S et al (2020) The American Society of Colon and Rectal Surgeons clinical practice guidelines for the treatment of left-sided colonic diverticulitis. Dis Colon Rectum 63:728–747 - DOI - PubMed
    1. Schultz JK, Azhar N, Binda GA et al (2020) European Society of Coloproctology: guidelines for the management of diverticular disease of the colon. Colorectal Dis 22(Suppl 2):5–28 - DOI - PubMed
    1. Li D, de Mestral C, Baxter NN et al (2014) Risk of readmission and emergency surgery following nonoperative management of colonic diverticulitis: a population-based analysis. Ann Surg 260:423–430; discussion 30–31

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