{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T13:32:37Z","timestamp":1789047157841,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,4,8]],"date-time":"2016-04-08T00:00:00Z","timestamp":1460073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The management of diverticular disease and its complications are an increasing burden to the health system. The natural history of conservatively managed diverticular abscesses (Hinchey I and<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>) is poorly described and it remains open to debate whether subsequent sigmoid resection is indicated after conservative management. This observational study compares outcomes of patients treated with conservative management (antibiotics +\/\u2212 percutaneous drainage) and surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients admitted at Christchurch Hospital with diverticulitis between 1 January 1998 and 31 December 2009 were recorded in a database. A retrospective analysis of patients with an abscess due to complicated diverticulitis was undertaken. Initial management, recurrence and subsequent surgery were recorded. The patients were followed until 1 January 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1044 patients with diverticulitis, 107 with diverticular abscess were included in this analysis. The median age was 66\u2009\u00b1\u200916 and 60 were male. All patients had sigmoid diverticulitis and were diagnosed with a computed tomography. The median abscess size was 4.2\u2009\u00b1\u20092.1\u2009cm. During median follow\u2010up of 110\u2009months, the overall recurrence rate was 20% (21\/107). Recurrence varied according to initial treatment; namely antibiotics (30%), percutaneous drainage plus antibiotics (27%) and surgery (5%) (<jats:italic>P<\/jats:italic>\u2009=\u20090.004). The median time to recurrence was 4\u2009\u00b1\u200911.7\u2009months, and most recurrences were treated conservatively; four patients underwent delayed surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Recurrence after diverticular abscess is higher after initial conservative treatment (antibiotics +\/\u2212 percutaneous drainage) compared with surgery, however, patients with recurrent disease can be treated conservatively with similar good outcomes and few patients required further surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13501","type":"journal-article","created":{"date-parts":[[2016,4,10]],"date-time":"2016-04-10T17:57:08Z","timestamp":1460311028000},"page":"1011-1014","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Hinchey I and<scp>II<\/scp>diverticular abscesses: long\u2010term outcome of conservative treatment"],"prefix":"10.1111","volume":"87","author":[{"given":"Pamela","family":"Buchwald","sequence":"first","affiliation":[{"name":"Colorectal Unit, Department of Surgery Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liane","family":"Dixon","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Department of Surgery Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Wakeman","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Department of Surgery Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim W.","family":"Eglinton","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Department of Surgery Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank A.","family":"Frizelle","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Department of Surgery Christchurch Hospital Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12659"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181952888"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp073228"},{"key":"e_1_2_5_5_1","first-page":"85","article-title":"Treatment of perforated diverticular disease of the colon","volume":"12","author":"Hinchey EJ","year":"1978","journal-title":"Adv. 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