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[Treatment of cecal diverticulitis].

Twenty-three cases of acute solitary diverticulitis of the cecum are reviewed. Cecal diverticulitis continued to be almost indistinguishable from acute appendicitis although longer duration of symptoms and lesser incidence of nausea and vomit are reported. A correct preoperative diagnosis is then seldom performed. On the basis of this experience appendectomy is recommended when diverticulitis is diagnosed in order to avoid further clinical complications. If a carcinoma cannot be completely ruled out or an abscess or rupture is present, then a right colectomy should be performed.

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PubMedDate not supplied

[Preoperative bowel cleansing: outpatient versus inpatient preparation].

This study investigated the safety and efficacy of preoperative outpatient bowel preparation (OBP) and compared it with inpatient bowel preparation (IBP). Records of patients who underwent OBP and IBP for elective colorectal surgery from January 1995 to December 1997 were compared. All patients were instructed to take during the three days before surgery metronidazole (1.5 g pro die) while an oral polyethylene glycol solution was used for the oral lavage during the 12 hours before operation. The two groups, 65 patients, were uniform for age, sex, diagnosis and operations performed. The OBP group had a shorter length of hospital stay (median 9 vs 10 days; p = ns) whereas the complication rate was similar including infectious complications. Data on operating time, perioperative fluid and blood requirements, perioperative diuresis were not significantly different in the two groups. Outpatient bowel preparation for elective colorectal surgery is safe and effective while offering short hospital stay and therefore reduction in medical care cost.

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