Efficacy of conservative management in patients with right colonic diverticulitis

ANZ Journal of Surgery
Gi Won HaJong Hun Kim

Abstract

Although right colonic diverticulitis is more common than sigmoid diverticulitis, and its incidence has been increasing in Asian countries, there is no definitive treatment strategy for right colonic diverticulitis. This retrospective clinical study assessed the effect of conservative management in patients with right colonic diverticulitis. Of the 169 patients who were diagnosed with right colonic diverticulitis at Chonbuk National University Hospital, South Korea, from 2005 to 2012, 152 patients evaluated by abdominopelvic computed tomography (CT) and managed conservatively were included. CT findings were categorized by modified Hinchey classification, with stages Ib, II, III and IV, as well as fistula and obstruction defined as complicated diverticulitis. Factors associated with recurrence of diverticulitis were determined. The mean age of 152 patients (87 males, 65 females) was 42.9 ± 13.8 years, median follow-up interval was 61 months (range, 17-113 months). At diagnosis, five patients (3.3%) had complicated diverticulitis. After treatment of first attack, 15 patients (9.9%) experienced recurrence of right colonic diverticulitis, including 10 (6.6%) within 12 months. Fourteen of these patients were successfully treated con...Continue Reading

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Citations

Nov 9, 2016·Cirugía española·Francesco FerraraEduardo M Targarona
Nov 17, 2016·Abdominal Radiology·Laura Valbousquet SchneiderMarc Zins
Mar 14, 2018·International Journal of Colorectal Disease·Nicholas Yock Teck SohRamesh Wijaya
May 10, 2020·World Journal of Emergency Surgery : WJES·Massimo SartelliFausto Catena
Mar 26, 2021·International Journal of Colorectal Disease·Jun Ho LeeKang Hong Lee
May 3, 2021·Current Problems in Surgery·Jordan M RookMary R Kwaan

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