Predictors of acute diverticulitis severity: A systematic review

International Journal of Surgery
James P L TanAndrew D Maccormick

Abstract

Diverticulitis is a common condition with a broad spectrum of disease severity. A scoring system has been proposed for diagnosing diverticulitis, and a number of scoring systems exist for predicting prognosis associated with severe complications of diverticulitis such as peritonitis. However, predicting disease severity has not received as much attention. Therefore, the aim of this review was to identify the factors that are predictive of severe acute diverticulitis. A systematic literature search was performed using Medline, PubMed, EMBASE, and the Cochrane Library to identify papers that evaluated factors predictive of severe diverticulitis. Severe diverticulitis was defined as complicated diverticulitis (associated with haemorrhage, abscess, phlegmon, perforation, purulent/faecal peritonitis, stricture, fistula, or small-bowel obstruction) or diverticulitis that resulted in prolonged hospital admission, surgical intervention or death. Twenty one articles were included. Studies were categorised into those that identified patient characteristics (n = 12), medications (n = 5), biochemical markers (n = 8) or imaging (n = 3) as predictors. Predictors for severe diverticulitis included first episode of diverticulitis, co-morbiditi...Continue Reading

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Citations

Feb 27, 2016·International Journal of Surgery·Aristotelis Kechagias
Aug 20, 2016·Scandinavian Journal of Gastroenterology·Kjetil SøreideGeorge C Velmahos
Oct 19, 2017·International Journal of Colorectal Disease·Abbas ChabokMaziar Nikberg
Nov 6, 2018·Scandinavian Journal of Gastroenterology·Hendrike E BolkensteinWerner A Draaisma
Jun 2, 2018·Annals of Surgical Treatment and Research·Seonhui ShinChun-Seok Yang
Sep 14, 2016·Journal of Clinical Gastroenterology·Knut-Arne Wensaas, Amrit Pali Hungin
Aug 12, 2017·International Journal of Colorectal Disease·H E BolkensteinW A Draaisma
Aug 1, 2019·World Journal of Clinical Cases·Yosuke SasakiYoshihisa Urita
Sep 19, 2019·American Journal of Surgery·Riccardo LeminiDorin T Colibaseanu
Feb 13, 2021·Journal of Personalized Medicine·Marcello CovinoAlfredo Papa
Jan 23, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Burak AkselimEmin Üstünyurt
Jan 8, 2021·International Journal of Colorectal Disease·Aikaterini MastorakiEvangelos Felekouras
Apr 2, 2020·Journal of the American College of Surgeons·Albert KaziRaul Coimbra
Oct 21, 2020·Current Problems in Surgery·Alexander T HawkinsAmy L Lightner
Apr 1, 2021·Digestive Diseases and Sciences·Greg A TurnerFrank A Frizelle
Nov 12, 2019·The Journal of Surgical Research·Kathryn T WeberGainosuke Sugiyama

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