{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T17:38:41Z","timestamp":1760981921344},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[1986,7,1]],"date-time":"1986-07-01T00:00:00Z","timestamp":520560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1986,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>One hundred and five patients underwent surgical treatment of septic complications of diverticular disease. In nine cases, operation was carried out for acute large bowel obstruction and in the remainder for peritonitis. An inflammatory mass and\/or localized abscess was found in 23 cases. Free pus without evidence of \u2018communicating\u2019 perforation was found in a further 33 and \u2018communicating\u2019 perforation in 40. Treatment by primary resection or by transverse colostomy and drainage were both associated with significantly lower mortality from sepsis than treatment by drainage alone. In cases without \u2018communicating\u2019 perforation, there was no difference in mortality between primary resection and transverse colostomy with drainage. Although the advantage of primary resection was most apparent in cases with \u2018communicating\u2019 perforation, it did not reach statistical significance. In three cases treated primarily without resection the pathology was subsequently found to be that of carcinoma. In \u2018favourable\u2019 circumstances, i.e. without \u2018communicating\u2019 perforation, defunctioning colostomy with drainage has an acceptably low mortality rate and may be undertaken by a less experienced surgeon to avoid a difficult resection. Ideally these problems should be dealt with by an experienced surgeon; we prefer to treat the septic complications of diverticular disease by primary resection.<\/jats:p>","DOI":"10.1002\/bjs.1800730721","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T07:29:45Z","timestamp":1172906985000},"page":"576-579","source":"Crossref","is-referenced-by-count":37,"title":["Management of the septic complications of diverticular disease"],"prefix":"10.1093","volume":"73","author":[{"given":"M E","family":"Lambert","sequence":"first","affiliation":[{"name":"University Hospital of South Manchester ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R A","family":"Knox","sequence":"additional","affiliation":[{"name":"University Hospital of South Manchester ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P F","family":"Schofield","sequence":"additional","affiliation":[{"name":"University Hospital of South Manchester ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B D","family":"Hancock","sequence":"additional","affiliation":[{"name":"Wythenshawe Hospital , Manchester,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1986,7,1]]},"reference":[{"key":"2024092718175155500_bib1","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1136\/pgmj.29.327.20","article-title":"Diverticulosis and diverticulitis of the intestine","volume":"29","author":"Edwards","year":"1953","journal-title":"Postgrad Med J"},{"key":"2024092718175155500_bib2","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1136\/bmj.3.5568.760","article-title":"Transit times of food in patients with diverticulosis or irritable colon syndrome and normal subjects","volume":"iii","author":"Manosos","year":"1967","journal-title":"Br Med 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