{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T15:02:30Z","timestamp":1778511750945,"version":"3.51.4"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T00:00:00Z","timestamp":1551916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Laparoscopic peritoneal lavage has increasingly been investigated as a promising alternative to sigmoidectomy for perforated diverticulitis with purulent peritonitis. Most studies only reported outcomes up to 12 months. Therefore, the objective of this study was to evaluate long\u2010term outcomes of patients treated with laparoscopic lavage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2008 and 2010, 38 patients treated with laparoscopic lavage for perforated diverticulitis in 10 Dutch teaching hospitals were included. Long\u2010term follow\u2010up data on patient outcomes, e.g. diverticulitis recurrence, reoperations and readmissions, were collected retrospectively. The characteristics of patients with recurrent diverticulitis or complications requiring surgery or leading to death, categorized as \u2018overall complicated outcome\u2019, were compared with patients who developed no complications or complications not requiring surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median follow\u2010up was 46 months (interquartile range 7\u201377), during which 17 episodes of recurrent diverticulitis (seven complicated) in 12 patients (32%) occurred. Twelve patients (32%) required additional surgery with a total of 29 procedures. Fifteen patients (39%) had a total of 50 readmissions. Of initially successfully treated patients (<jats:italic>n<\/jats:italic> = 31), 12 (31%) had recurrent diverticulitis or other complications. At 90 days, 32 (84%) patients were alive without undergoing a sigmoidectomy. However, seven (22%) of these patients eventually had a sigmoidectomy after 90 days. Diverticulitis\u2010related events occurred up to 6 years after the index procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Long\u2010term diverticulitis recurrence, re\u2010intervention and readmission rates after laparoscopic lavage were high. A complicated outcome was also seen in patients who had initially been treated successfully with laparoscopic lavage with relevant events occurring up to 6 years after initial surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14586","type":"journal-article","created":{"date-parts":[[2019,2,16]],"date-time":"2019-02-16T13:59:29Z","timestamp":1550325569000},"page":"705-714","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Long\u2010term follow\u2010up of a multicentre cohort study on laparoscopic peritoneal lavage for perforated diverticulitis"],"prefix":"10.1111","volume":"21","author":[{"given":"D.","family":"Sneiders","sequence":"first","affiliation":[{"name":"Department of Surgery Erasmus University Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4602-3115","authenticated-orcid":false,"given":"D. P. V.","family":"Lambrichts","sequence":"additional","affiliation":[{"name":"Department of Surgery Erasmus University Medical Center Rotterdam The Netherlands"},{"name":"Department of Surgery Amsterdam Universitair Medisch Centrum (AMC) Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. A.","family":"Swank","sequence":"additional","affiliation":[{"name":"Department of Surgery Amsterdam Universitair Medisch Centrum (AMC) Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. F. J. M.","family":"Blanken\u2010Peeters","sequence":"additional","affiliation":[{"name":"Department of Surgery Rijnstate Hospital Arnhem The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. W.","family":"Nienhuijs","sequence":"additional","affiliation":[{"name":"Department of Surgery Catharina Hospital Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. J. P. M.","family":"Govaert","sequence":"additional","affiliation":[{"name":"Department of Surgery Westfriesgasthuis Hoorn The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. F.","family":"Gerhards","sequence":"additional","affiliation":[{"name":"Department of Surgery OLVG Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. G. M.","family":"Hoofwijk","sequence":"additional","affiliation":[{"name":"Department of Surgery Zuyderland Medical Center Sittard\u2010Geleen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. J. I.","family":"Bosker","sequence":"additional","affiliation":[{"name":"Department of Surgery Deventer Hospital Deventer The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. D. W.","family":"van der Bilt","sequence":"additional","affiliation":[{"name":"Department of Surgery Flevoziekenhuis Almere The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. H. M.","family":"Heijnen","sequence":"additional","affiliation":[{"name":"Department of Surgery Lange Land Hospital Zoetermeer The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. O.","family":"ten Cate Hoedemaker","sequence":"additional","affiliation":[{"name":"Department of Surgery University Medical Center Groningen Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. J.","family":"Kleinrensink","sequence":"additional","affiliation":[{"name":"Department of Neuroscience Erasmus University Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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