Should a colonoscopy be offered routinely to patients with CT proven acute diverticulitis? A retrospective cohort study and meta-analysis of best available evidence

World Journal of Gastrointestinal Endoscopy
Peter AsaadChristine Bronder

Abstract

The current guidelines suggest that patients should undergo endoscopic evaluation of the colonic lumen after an episode of computed tomography (CT) proven acute diverticulitis to rule out malignancy. The usefulness of routine endoscopic evaluation of CT proven diverticulitis remains unknown. To establish whether routine colonoscopy should be offered to patients after an episode of diverticulitis. We performed a retrospective study, comparing two groups: a diverticulitis group and a control group. The diverticulitis group consisted of patients undergoing a colonoscopy after an episode of diverticulitis. The control group consisted of asymptomatic patients undergoing a screening sigmoidoscopy. We also performed a systematic review and meta-analysis. We searched electronic data resources to identify all relevant studies. The primary outcome was the number of adenomas found, while the secondary outcomes were the number of cancers and polyps identified, and the adenoma risk. 68 and 1309 patients were included in the diverticulitis and control groups respectively. There was no difference in the risk of adenomas (5.9% vs 7.6%, P = 0.59), non-advanced adenomas (5.9% vs 6.9%, P = 0.75), advanced adenomas (0% vs 0.8%, P = 1), cancer (0% ...Continue Reading

References

Feb 28, 2004·Lancet·Neil Stollman, Jeffrey B Raskin
Mar 5, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J B J FozardUNKNOWN Association of Coloproctology of Great Britain and Ireland
Jun 30, 2011·The British Journal of Surgery·D A WestwoodF A Frizelle
Dec 22, 2011·Journal of Clinical Gastroenterology·Hemda Schmilovitz-WeissHaim Shirin
Oct 10, 2013·Diseases of the Colon and Rectum·Mantaj S BrarW Donald Buie
Jan 18, 2014·Gastrointestinal Endoscopy·Lidewine DanielsMarja A Boermeester
Feb 4, 2014·Surgical Endoscopy·H S de VriesH L van Westreenen
Feb 11, 2014·Diseases of the Colon and Rectum·Daniel FeingoldJanice Frederick Rafferty
Aug 2, 2014·United European Gastroenterology Journal·Stéphane LecleireXavier Dray
May 30, 2015·Canadian Journal of Surgery. Journal Canadien De Chirurgie·George OuBrian Bressler
Dec 1, 2015·The Journal of the American Osteopathic Association·Molly DisbrowNeera Agrwal
Mar 15, 2016·Journal of Clinical Gastroenterology·Rintaro HashimotoAkimichi Chonan
Oct 25, 2016·American Journal of Surgery·Avery S WalkerScott R Steele
Aug 2, 2016·World Journal of Emergency Surgery : WJES·Massimo SartelliErnest E Moore
Dec 13, 2016·Digestive Surgery·Patrícia AndradeGuilherme Macedo
Dec 31, 2016·International Journal of Colorectal Disease·Thomas Surya SuhardjaStephen Rodgers-Wilson

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Citations

Oct 21, 2020·Current Problems in Surgery·Alexander T HawkinsAmy L Lightner

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