Diverticulitis Acute Complicated: Prevalence for 5 Years (2011-2016) in a New Second-Level General Hospital - Abstract
Background: In the West the incidence of diverticular disease has increased from
2 to 10% since the beginning of last century until today to 50% in individual solder than
60years who have colon diverticula, of these, 10 to 25% develop acute diverticulitis.
Objective: Recognize the prevalence of diverticulitis in our new public hospital
Playa del Carmen, Q. Roo, Mèxico and surgical management; for a period of five
years (July 2011-July 2016) of the patients operated onurgently manner.
Material and methods: An observational, retrospective cross-sectional study
of patients with complete file count was performed. The variables of age, sex,
duration, laboratory, stage (Hinchey classification), surgery performed, postoperative
complications, morbidity and mortality were considered.
Results: Thirteen cases of diverticulitis: eight cases were males and five
females cases were collected; oldest patient 77 years old, the youngest 22 yearsold. Leukocytosis with a minimum value of 6,900/mm3
, up to19, 300/mm3
.Time
evolution: minimum 6 hours, 72 hours maximum. One case Hinchey I with conservative
management rated seven intra operative findings Hinchey II cases, four classifications
III and one case with IV Hinchey classification. Ten patients were operated by sigmoid
resection, Hartman, and colostomy procedure, one case with primary closure and
transversostomy and one with primary closure and ileostomy. There was morbidity in
one case and mortality in other case.
Discussion: In our population the prevalence of diverticular disease is unknown
and we face it when it comes in the form of acute diverticulitis and operated for acute
abdomen with peritonitis, the prevalence found in our population was 1.2cases per
100000 inhabitants/year. In this study seven cases of Hinchey grade II that should
not be operated on a stage with all current technological resources were found and
all them underwent surgery without morbidity and mortality (only one case of stenosis
resolved anastomosis) and those patients this category evolved satisfactorily