Long-Term Outcomes After Group B Streptococcal Disease in Infancy

2021 ◽  
Vol 46 (3) ◽  
pp. 28-28
2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
E Durity ◽  
G Elliott ◽  
T Gana

Abstract Introduction Management of complicated diverticulitis has shifted towards a conservative approach over time. This study evaluates the feasibility and long-term outcomes of conservative management. Method We retrospectively evaluated a consecutive series of patients managed with perforated colonic diverticulitis from 2013-2017. Results Seventy-three (73) patients were included with a male to female ratio of 1:2. Thirty-one (31) underwent Hartmann’s procedure (Group A) and 42 patients were managed with antibiotics +/- radiological drainage (Group B). Mean follow-up was 64.9 months (range 3-7 years). CT Grade 3 and 4 disease was observed in 64.5% and 40.4% of Group A and Group B patients, respectively. During follow-up, 9 (21.4%) Group B patients required Hartmann’s. Group A had longer median length of stay compared to Group B (25.1 vs 9.2 days). Post-operative complications occurred in 80.6% with 40% being Clavien-Dindo grade III or higher in group A. Stoma reversal was performed in 8 patients (25.8%). Conclusions In carefully selected cases, complicated diverticulitis including CT grade 3 and 4 disease, can be managed conservatively with acceptable recurrence rates (16.7% at 30 days, 4.8% at 90 days, 19.0% at 5 years). Surgical intervention on the other hand, carries high post-operative complication rates and low stoma reversal rates.


Author(s):  
R. Matorras ◽  
A. García-Perea ◽  
F. Omeñaca ◽  
M. Diez-Enciso ◽  
R. Madero ◽  
...  

2013 ◽  
Vol 57 (5) ◽  
pp. 682-688 ◽  
Author(s):  
Theresa L. Lamagni ◽  
Catherine Keshishian ◽  
Androulla Efstratiou ◽  
Rebecca Guy ◽  
Katherine L. Henderson ◽  
...  

The Lancet ◽  
2003 ◽  
Vol 361 (9354) ◽  
pp. 351 ◽  
Author(s):  
Peter Jakobi ◽  
Orly Goldstick ◽  
Polo Sujov ◽  
Joseph Itskovitz-Eldor

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