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Trials of Surgical Treatment of Acute Perforated Diverticulitis: Finding What They Look ForTrials of Surgical Treatment of Acute Perforated Diverticulitis

Tim W. Eglinton, MBChB, MMedSc; and Frank A. Frizelle, MBChB, MMedSc
[+] Article, Author, and Disclosure Information

This article was published at www.annals.org on 19 January 2016.

From University of Otago, Christchurch, Christchurch, New Zealand.

Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-2788.

Requests for Single Reprints: Frank A. Frizelle, University of Otago, Christchurch, 2 Riccarton Avenue, Christchurch 8012, New Zealand; e-mail, Frank.Frizelle@cdhb.health.nz.

Current Author Addresses: Drs. Eglinton and Frizelle: University of Otago, Christchurch, 2 Riccarton Avenue, Christchurch 8012, New Zealand.

Ann Intern Med. 2016;164(3):195-196. doi:10.7326/M15-2788
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In this issue, Thornell and colleagues' trial randomly assigned patients with acute perforated diverticulitis to laparoscopic drainage and lavage or the Hartmann procedure. They found that patients who had the Hartmann procedure required surgery more often in the following 12 months than those who had lavage. The editorialists discuss these findings and note that trials comparing noninvasive management with invasive lavage and colon resection approaches are needed to define the best approach.

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