Comparative Study of the Clinical Features and Treatment for Right and Left Colonic Diverticulitis

Kim, Seok Hoon; Byun, Chang Gyoo; Woo, Jin; Choi, Seok Ho; Kho, Young Taek; Seo, Dong Yup

doi:10.3393/jksc.2010.26.6.407

Cited by 30 publications

(29 citation statements)

References 14 publications

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“…The 8% prevalence of RCD is in accordance with that reported in literature [24,27,36]. For comparison, this percentage varies between 60-90% in Asians with acute diverticulitis [4,30].…”

Section: Discussionsupporting

confidence: 79%

“…In addition, the recurrence rate of RCD of 7% in 7 years follow up in our study, is lower than that reported of LCD (up to 10-20% in 10 years) [4,11,18,33,[37][38][39].…”

Section: Discussioncontrasting

confidence: 50%

“…In contrast, several Asian studies demonstrate good results of a conservative management of RCD patients. Moreover, these studies demonstrate that acute RCD patients present with less complications and have a milder disease course than LCD patients [4,9,10,[12][13][14][29][30][31].…”

Section: Introductionmentioning

confidence: 93%

“…Although RCD is more often diagnosed due to the routine use of radiological imaging, incidence of RCD remains low in the Western world [1][2][3]. In countries like Korea, China or Japan, the incidence of RCD is about a tenfold higher [4][5][6]. Therefore, RCD can be described as an Asian disease.…”

Section: Introductionmentioning

confidence: 99%

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Disease Course of Right- and Left-sided Diverticulitis in a Western Population

Wegdam¹,

Andeweg²

2016

J Gastrointest Dig Syst

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Aim: To evaluate the similarities and differences in disease courses between right-and left-sided diverticulitis in a Western population. Methods:All consecutive patients admitted in a Dutch regional hospital between 2004 and 2008 for conservative or operative management of clinically and radiologically confirmed acute right-and left-sided diverticulitis were analyzed retrospectively. Diverticulitis was clinically suspect if the patient presented with lower abdominal pain combined with at least one elevated inflammatory parameter (temperature, WBC, CRP or ESR). Diverticulitis was radiologically confirmed if at least US or CT demonstrated signs of acute right-or left-sided diverticulitis. Differences in incidence, patient characteristics, clinical presentation and disease course between the two diagnoses were analyzed. Results:The hospital system yielded 425 patients with a diverticulosis/diverticulitis discharge coding. 57% was excluded because these patients had another diagnosis demonstrated by imaging, besides diverticulosis (19%), had no imaging at all (16%), were elective or referred (7%), were not admitted (4%) or had other reasons (11%). A total of 183 admitted patients with both clinical and radiological confirmed acute colonic diverticulitis were included. The incidence of right-sided diverticulitis was 8%. Patients with right-sided diverticulitis were predominantly female (86% compared to 47% in leftsided diverticulitis, P = 0.05). Median CRP at presentation was lower in right sided diverticulitis, 30 compared to 71 mg/L (P = 0.001). No other differences in clinical presentation, like the severity of diverticulitis, and disease course, like the need for acute surgery, were found between right and left-sided diverticulitis.Conclusions: Disease course of acute right-sided diverticulitis in Caucasians is comparable to left-sided diverticulitis. Left-sided diverticulitis treatment guidelines may also apply for the right-sided diverticulitis in Caucasians.

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“…The 8% prevalence of RCD is in accordance with that reported in literature [24,27,36]. For comparison, this percentage varies between 60-90% in Asians with acute diverticulitis [4,30].…”

Section: Discussionsupporting

confidence: 79%

“…In addition, the recurrence rate of RCD of 7% in 7 years follow up in our study, is lower than that reported of LCD (up to 10-20% in 10 years) [4,11,18,33,[37][38][39].…”

Section: Discussioncontrasting

confidence: 50%

Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Disease Course of Right- and Left-sided Diverticulitis in a Western Population

Wegdam¹,

Andeweg²

2016

J Gastrointest Dig Syst

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“…This may be related to a higher intraluminal pressure in the right-side colon. Western people, mainly because of diet habits and constipation, form false diverticula in the left-sided colon (19). In this study, there were 10 cases of diverticulosis complicated with polyps, accounting for 23.8% of total patients with polyps.…”

Section: Wang Et Al a Contrastive Study Of Two Countries' Colonoscopmentioning

confidence: 90%

A comparative analysis of colonoscopy findings in a Chinese and American tertiary hospital

Wang

Cai²,

Zhu³

et al. 2015

Turk J Gastroenterol

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Background/Aims: To compare the colonoscopy findings of a tertiary Chinese hospital with those of an American tertiary hospital. Materials and Methods: Hundred consecutive colonoscopies performed in August 2008 at the First Affiliated Hospital of Nanchang University in China and at the Emory University Hospital, United States of America, were investigated. The endoscopic findings and the histopathology results were statistically compared. Results: The average age of Chinese patients who underwent colonoscopy in this study was 45.23±15.38 years, whereas that of American patients was 55.38±12.11 years; no difference in sex ratio was observed (p=0.202) between the two populations. Screening colonoscopy accounted for 38% of patients in the American group and zero patients in the Chinese group. Polyps and diverticula were the most common findings in both groups. Abnormal findings in the American patients were three times higher than those in the Chinese patients. Proximal colon polyps were more common in the American group. Conversely, proximal colon diverticula were more common in the Chinese group. The prevalence of non-neoplasm lesions was not different between the two groups (p=0.232); the prevalence of adenomas significantly increased in patients who were more than 50 years old in both groups and was higher in the American group (p=0.038). Conclusion:The prevalence of bowel diseases in American patients was higher than that in Chinese patients. Polyps and diverticula were the main bowel abnormalities in both groups. Chinese patients lacked awareness of colonoscopy screening and should be enhanced aged 50 years old or older, because the prevalence of advanced neoplasia was increased in this age group in both groups.

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Colonic Diverticular Disease

Hall

Bemelman²

2021

The ASCRS Textbook of Colon and Rectal Surgery

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Our understanding of the pathophysiology of diverticular disease is evolving.• Many behavioral and environmental factors may influence the development of diverticular disease. • Some patients with early uncomplicated diverticulitis can be treated without antibiotics. • The decision to perform elective surgery after several episodes of recurrent uncomplicated diverticulitis should be individualized. • The decision to perform elective surgery after successful non-operative management of a diverticular abscess should be individualized. • Laparoscopic lavage can be employed in some patients with Hinchey III diverticulitis. • Minimally invasive surgery is an acceptable option for managing diverticulitis and its complications.

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Comparative Study of the Clinical Features and Treatment for Right and Left Colonic Diverticulitis

Cited by 30 publications

References 14 publications

Disease Course of Right- and Left-sided Diverticulitis in a Western Population

Disease Course of Right- and Left-sided Diverticulitis in a Western Population

A comparative analysis of colonoscopy findings in a Chinese and American tertiary hospital

Colonic Diverticular Disease

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