Value of CT for acute left-colonic diverticulitis: the surgeon's view

Digestive Diseases
P Ambrosetti

Abstract

To determine the immediate and later role(s) of initial CT in patients presenting with their first episode of acute left-colonic diverticulitis. Prospective inclusion of 542 patients hospitalized in the University Hospital of Geneva between 1986 and 1997. 465 (86%) patients had a CT. CT grading of diverticulitis was divided between moderate diverticulitis (no sign of colonic perforation) and severe diverticulitis (signs of colonic perforation). During the index hospitalization, surgical treatment of the first episode of acute diverticulitis was needed in 26% of patients with CT-severe diverticulitis compared to 4% for patients with CT-moderate diverticulitis. At 5 years of follow-up after medical treatment of the first episode, incidence of remote complications was the highest (49%) for patients with CT-severe diverticulitis and the lowest (22%) for patients with CT-moderate diverticulitis. Finally, we found that the location of the diseased segment, which is important to guide the type of resection in case of elective surgery, varies in 35% of patients who had 2 episodes of acute diverticulitis. CT is the indispensable tool both to confirm the suspected diagnosis of acute diverticulitis and to appreciate the risk of surgical t...Continue Reading

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Citations

Aug 7, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marty ZdichavskyAlfred Königsrainer
Nov 9, 2015·Digestive Diseases and Sciences·Manu KaushikVijay K Mittal
Nov 22, 2013·The British Journal of Surgery·F D McDermottD C Winter
Apr 16, 2016·AJR. American Journal of Roentgenology·Nicola FlorPerry J Pickhardt
Oct 25, 2016·International Journal of Surgery·Rasmus GregersenJacob Rosenberg
Apr 10, 2018·AJR. American Journal of Roentgenology·Paul LebertMarc Zins
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Feb 6, 2015·Annals of Surgery·John RoseMark A Talamini
Nov 7, 2020·International Journal of Colorectal Disease·Alexandra M Zaborowski, Des C Winter
Mar 18, 2021·World Journal of Gastroenterology : WJG·Mark H Hanna, Andreas M Kaiser

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