reviewTop 1% cited

Primary Anastomosis or Hartmann's Procedure for Patients With Diverticular Peritonitis? A Systematic Review

Diseases of the Colon & Rectum · 2004 · Vol. 47(11) · pp. 1953–1964

Leon Salem✉(University of Washington)David R. Flum(University of Washington)

Abstract

Reported mortality and morbidity in patients with diverticular peritonitis who underwent primary anastomosis were not higher than those in patients undergoing Hartmann's procedure were. This suggests that primary anastomosis is a safe operative alternative in certain patients with peritonitis. Despite inclusion of only patients with peritonitis in this analysis, selection bias may have been a limitation and a prospective, randomized trial is recommended.

Diverticular Disease and Complications Appendicitis Diagnosis and Management Gastrointestinal disorders and treatmentsMedicineDiverticular diseasePeritonitisDiverticulitisAnastomosisSurgeryStoma (medicine)Mortality rateColorectal surgeryDiverticulosis

MeSH terms

Anastomosis, SurgicalDiverticulitisDiverticulum, ColonHumansIntestinal PerforationTherapeutic IrrigationPeritonitisPostoperative ComplicationsDigestive System Surgical Procedures

Citations

359

FWCI

12.63

field-weighted impact

References

131

Percentile

99%

vs. same field & year

Citations per year

Cited by