Background: Diverticulitis can lead to localized or generalized peritonitis and consequently induce abdominal adhesion formation. If adhesions would lead to abdominal complaints, it might be expected that these would be more prominent after operation for perforated diverticulitis with peritonitis than after elective sigmoid resection. Aims: The primary outcome of the study was the incidence of abdominal complaints in the long-term after acute and elective surgery for diverticulitis. Methods: During the period 2003 through 2009, 269 patients were operated for diverticular disease. Two hundred eight of them were invited to fill out a questionnaire composed of the gastrointestinal quality of life index and additional questions and finally 109 were suitable for analysis with a mean follow-up of 7.5 years. Results: Analysis did not reveal any significant differences in the incidence of abdominal complaints or other parameters. Conclusion: This retrospective study on patients after operation for diverticulitis shows that in the long term, the severity of the abdominal complaints is influenced neither by the stage of the disease nor by the fact of whether it was performed in an acute or elective setting.

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Keywords Abdominal adhesions, Chronic abdominal pain, Diverticulitis, Long-term follow-up
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Journal Digestive Surgery
Ditzel, M, Vennix, S, Menon, A.G. (Anand G.), Verbeek, P.C.M, Bemelman, W.A, & Lange, J.F. (2018). Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up. Digestive Surgery. doi:10.1159/000486868