Patients with computed tomography-proven acute diverticulitis require follow-up to exclude colorectal cancer

Intestinal research
Shafquat ZamanStephen Thomas Ward

Abstract

Traditionally, patients with acute diverticulitis undergo follow-up endoscopy to exclude colorectal cancer (CRC). However, its usefulness has been debated in this era of high-resolution computed tomography (CT) diagnosis. We assessed the frequency and outcome of endoscopic follow-up for patients with CT-proven acute diverticulitis, according to the confidence in the CT diagnosis. Records of patients with CT-proven acute diverticulitis between October 2007 and March 2014 at Sandwell & West Birmingham Hospitals NHS Trust were retrieved. The National Cancer Registry confirmed the cases of CRC. Endoscopy quality indicators were compared between these patients and other patients undergoing the same endoscopic examination over the same period. We identified 235 patients with CT-proven acute diverticulitis, of which, 187 were managed conservatively. The CT report was confident of the diagnosis of acute diverticulitis in 75% cases. Five of the 235 patients were subsequently diagnosed with CRC (2.1%). Three cases of CRC were detected in the 187 patients managed conservatively (1.6%). Forty-eight percent of the conservatively managed patients underwent follow-up endoscopy; one case of CRC was identified. Endoscopies were often incomplete...Continue Reading

References

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Citations

Feb 27, 2020·World Journal of Surgery·Jesse ZuckermanMarylise Boutros
Jul 2, 2019·The British Journal of Surgery·S J RottierM A Boermeester
Oct 29, 2020·Curēus·Wajd A AljabriFaris O Alturkistany
Oct 21, 2020·Current Problems in Surgery·Alexander T HawkinsAmy L Lightner
Jul 27, 2021·Clinics in Colon and Rectal Surgery·David W Nelms, Brian R Kann

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Methods Mentioned

BETA
surgical resection
biopsy

Software Mentioned

ADAM
R

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