Operative and conservative treatment of right colon diverticulitis

Operative and conservative treatment of right colon diverticulitis

Aim: This study assessed the results of conservative and surgical treatment of right colon diverticulitis. Right colon diverticula contain all layers of the colon and are called true diverticula. Perforation of these diverticula is observed less frequently due to their full thickness. Materials and Methods: 150 patients treated for colonic diverticulitis between 2015-2020 were retrospectively screened. Following exclusions, a total of 26 patients data were assessed. The patients were divided into two groups as conservative or surgical treatment. The outcomes for these two groups were compared and analyzed. Results: Most patients in the sample were female (n=18, 69%). The average age was 47 (22-83). Data from the conservative treatment group (n=17, 65%) and the surgical treatment group (n=9, 35%) were examined. Comorbidity, recurrence, and white blood cell count were all greater following conservative treatment (p> 0.05). In the surgical group, two (22% of the group) patients developed wound infections. Patients with fever at admission were in the surgical group (p

___

  • 1. Hajibandeh S, Hajibandeh S, Smart NJ, et al. Meta- analysis of the demographic and prognostic significance of right-sided versus left-sided acute diverticulitis. Colorectal Dis. First published: 27 August 2020 doi: 10.1111/codi.15328.
  • 2. Choi CS, Cho EY, Kweon JH et al. The prevalence and clinical features of colonic diverticulosis diagnosed with colonoscopy. Korean J Gastrointest Endosc 2007;35:146–51.
  • 3. Beran SL, Zausner J, Lane B. Diverticular disease of the right colon. Radiology 1989;115:697–701.
  • 4. LeungWW, Lee JF, Liu SY et al. Critical appraisal on the role and outcome of emergency colectomy for uncomplicated right-sided colonic diverticulitis. World J Surg 2007;31:383e7.
  • 5. Tsang JS, Chung Foo C, Yip J, et al. Emergency surgery comparison of right versus left acute colonic diverticulitis: A 10-year outcome analysis. Surgeon 2020:S1479-666X:30053-6.
  • 6. Giuffrida MC. Diverticula of the right colon. The diagnosis and treatment of complications. Minerva Chir 1997;52:1503–12.
  • 7. Chan CC, Lo KK, Chung EC, Lo SS, Hon TY. Colonic diverticulosis in Hong Kong: distribution pattern and clinical significance. Clin Radiol 1998;53:842–4.
  • 8. Kim SH, Byun CG, Cha JW, et al. Comparative study of the clinical features and treatment for right and left colonic diverticulitis. J Korean Soc Coloproctol 2010;26:407–12.
  • 9. Reisman Y, Ziv Y, Kravrovitc D, et al. Diverticulitis: the effect of age and location on the course of disease. Int J Colorectal Dis 1999;14:250–4.
  • 10. Canver CC, Freier DT. Management of caecal diverticulitis. Am J Gastroenterol 1986;81:1104–6.
  • 11. Sari R, Kuş M, Kayaselçuk F. Intra-abdominal Actinomycosis Imitating Sigmoid Colon Cancer: A Case Report. Middle East J Dig Dis 2020;12:126-9.
  • 12. Puylaert JB. Ultrasonography of the acute abdomen: gastrointestinal conditions. Radiol Clin North Am. 2003;41:1227-42.
  • 13. Karam AR, Birjawi GA, Sidani CA, et al. Alternative diagnoses of acute appendicitis on helical CT with intravenous and rectal contrast. Clin Imaging. 2007;31:77-86.
  • 14. Wasvary H, Turfah F, Kadro O, et al. Same hospitalization resection for acute diverticulitis. Am Surg. 1999;65:632-5; discussion 636.
  • 15. Zuckerman J, Garfinkle R, Vasilevksy CA et al. Short- and long-term outcomes of right-sided diverticulitis: over 15 years of north american experience. World J Surg 2020;44:1994–2001.
  • 16. Schneider LV, Millet I, Boulay-Coletta I, et al. Right colonic diverticulitis in Caucasians: presentation and outcomes versus left-sided disease. Abdom Radiol 2017;42: 810–7.
  • 17. SongJH, KimYW, Lee S, et al.Clinical differencebetween acute appendicitis and acute right-sided colonic diverticulitis. Emerg Med Int 20201;2020:4947192.
  • 18. Sugihara K, Muto T, Morioka Y, et al. Diverticular disease of the colon in Japan. A review of 615 cases. Dis Colon Rectum 1984;27:531–7.
  • 19. Park HC, Chang MY, Lee BH. Nonoperative management of right colonic diverticulitis using radiologic evaluation. Colorectal Dis 2010;12:105-8.
  • 20. Law WL, Lo CY, Chu KW. Emergency surgery for colonic diverticulitis: differences between right-sided and left-sided lesions. Int J Colorectal Dis 2001;16:280e4.
  • 21. Kaya C, Celayir MF, Bozkurt E, et al. Solitary caecal diverticulitis: Comparison of operative and non operative treatment. J Pak Med Assoc 2020;70:1926- 9.
  • 22. Puylaert JB. Ultrasonography of the acute abdomen: gastrointestinal conditions. Radiol Clin North Am. 2003;41:1227-42.
  • 23. Koshy RM, Abusabeib A, Al-Mudares S, et al. Intraoperative diagnosis of solitary cecal diverticulum not requiring surgery: is appendectomy indicated? World J Emerg Surg 2016;11:1.
  • 24. Mizuki A, Tatemichi M, Nakazawa A, et al. Changes in the clinical features and long-term outcomes of colonic diverticulitis in Japanese patients. Intern Med 2017;56:2971–7.
  • 25. Soh NYT, Teo NZ, Tan CJH, et al. Perforated diverticulitis: is the right and left difference present here too? Int J Colorectal Dis 2018;33:525–9.
  • 26. Lee KY, Lee J, Park YY, et al. Difference in clinical features between right- and left-sided acute colonic diverticulitis. Sci Rep 2020;10:3754.
  • 27. Chung BH, Ha GW, Lee MR, et al. Management of colonic diverticulitis tailored to location and severity: comparison of the right and the left colon. Ann Coloproctol 2016;32:228–33.
  • 28. Ferrara F, Bollo J, Vanni LV, et al. Diagnostico y tratamiento de la enfermedad diverticular del colon derecho: revision de conjunto. Cir Esp 2016;94: 553–9.
  • 29. Strate LL, Morris AM. Epidemiology, pathophysiology, and treatment of diverticulitis. Gastroenterology 2019; 156:1282–98.e1.
  • 30. Cole M, Ayantunde AA, Payne J. Cecal diverticulitis presenting as acute appendicitis: a case report. World J Emerg Surg 2009;4:29.
  • 31. Oh HK, Han EC, Ha HK et al. Surgical management of colonic diverticular disease: discrepancy between right- and left-sided diseases. World J Gastroenterol 2014;20:10115e20.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Relationship of vitamin D level, fasting blood sugar, andbody mass index, to carpal tunnel syndrome severity

Murat Guntel, Alper Uysal

Characteristics of non-urgent visits in emergencydepartment

Orhan Meral, Onur Baykan, Tayfun Ozturk, Hayriye Gonullu

Managing ileus due to phytobezoars: Our clinical experience

Fatih Erol, Burhan Hakan Kanat, Ozkan Alatas, Mehmet Bugra Bozan, Hasim Nar, Tamer Gundogdu, Ulas Aday, Ayse Azak Bozan, Abdullah Boyuk

A rare cause of incarcerated inguinal hernia content: Ruptured hemorrhagic ovarian cyst

Yusuf Tanrikulu, Ceren Sen Tanrikulu, Gokhan Yilmaz

Coexistence of pituitary incidentaloma and primary hyperparathyroidism mimicking multiple endocrine neoplasia Type 1: A case report

Ahmet Gorgel, Mehmet Tecellioglu, Cem Cankaya

Dental caries status and related factors in children withAttention Deficit and Hyperactivity Disorder

Ceylan Cagil Ertugrul, Zuhal Kirzioglu

Evaluation of sleep apnea prevalance among drivinglicense applicants

Yonca Coluk, Guven Yildirim, Kursat Murat Ozcan, Omer Hizli

The effects of coping strategies and relaxation exerciseson anxiety, hopelessness, life satisfaction, and well-beıng in the elderly people with diabetes: An experimental study

Hamit Coskun, Saadet Can Cicek, Seyma Ozdemir, Aynur Acikgoz, Selahattin Isko

Clinical experience in the treatment of spinal cord tumors with cyberknife® fractionated stereotactic radiotherapy

Suheyla Aytac Arslan, Gonca Altinisik Inan, Gulhan Guler Avci, Yildiz Guney, Mehtap Coskun Breuneval

Does intravitreal injection of aflibercept affect the corneal endothelium?

Hafize Gokben Ulutas, Gamze Ucan Gunduz