Role of endoscopy in patients with diverticular disease

Digestive Diseases
S Bar-MeirE Melzer

Abstract

Acute diverticulitis occurs in 10-25% of patients with diverticulosis. Colonoscopy is advised 6 weeks after an attack of acute diverticulitis in order to completely evaluate the colonic lumen and exclude a potential malignancy. We conducted several studies aimed to evaluate the feasibility and safety of early colonoscopy in patients with acute diverticulitis. Consecutive patients hospitalized for acute diverticulitis were included. In the first phase of the study, patients with adjacent peri-diverticular air/fluid on CT were excluded. In the second phase of the study, we included patients with peri-diverticular air/fluid on CT as well. During the first phase of the study, 39 patients underwent uneventful colonoscopy. During the second phase of the study, 40 patients underwent colonoscopy and 1 of 6 patients with peri-diverticular air had perforation of her sigmoid colon. Two patients had a more protracted course and were clearly those who benefited most from the early colonoscopy. Based on our study, we concluded that early colonoscopy in acute diverticulitis is feasible. It should be reserved either for all patients with no air adjacent to diverticuli on CT or just for those with a more protracted course. In the third phase, a...Continue Reading

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Citations

Jul 17, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Kamyar ShahediBrennan Spiegel
Jul 7, 2015·Polski przeglad chirurgiczny·Anna PietrzakGrzegorz Wallner
Mar 29, 2020·Nature Reviews. Disease Primers·Antonio TursiSilvio Danese
Jan 8, 2020·International Journal of Molecular Sciences·Alex N FrickensteinLacey R McNally
Mar 2, 2021·Clinics in Colon and Rectal Surgery·Vinay Rai, Nitin Mishra

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