Fourteen-Year Study of Hospital Admissions for Diverticular Disease in Ontario

Warner, Eiran; Crighton, Eric; Moineddin, Rahim; Mamdani, Muhammad; Upshur, Ross

doi:10.1155/2007/943460

Cited by 130 publications

(73 citation statements)

References 10 publications

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“…Up to 50% of individuals aged over 60 years have colonic diverticula mainly in the left-side colon and 10%-25% develop complications, including diverticulitis (17). In the present study, colon diverticula accounted for 42.5% of bowel diseases (34% of total patients).…”

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

confidence: 45%

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

confidence: 45%

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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“…It is of value to attempt to induce eversion of ICD using endoscopic air insufflation [5]; as we performed in our case or during radiological evaluation [6]. It is suggested to probe the lesion gently with biopsy forceps and attempt to push it outside the colon [7].…”

Section: Resultsmentioning

confidence: 79%

“…The rarity of the condition participates in the awkwardness of the condition. The literature reported nearly twenty cases; six of which were radiologically diagnosed, five were endoscopically diagnosed, and eight were histopathologically diagnosed following either surgery of endoscopic polypectomy [5]. The problem becomes more complicated when the polyp is large resembling a pedunculated polyp.…”

Section: Discussionmentioning

confidence: 99%

Case Study: Inverted Diverticulum. Colonoscopy Evaluation Prior to Intervention

Elkaramany¹

2017

J Hepatol Gastroint Dis

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In spite of the rare incidence, inverted colon diverticulum can be misinterpreted and may result in perforation when biopsied or endoscopically removed. Such iatrogenic perforation can be avoided by simple maneuvers. Endoscopic air in insufflation can simply detect inverted colon diverticulum and save the risk of perforation. Our case study represents an old lady scheduled for colonoscopy for advanced evaluation of ambiguous abdominal pain and constipation. A polyp was discovered in the sigmoid colon. By air insufflation, the inverted colon diverticulum was detected and further procedures were ceased.

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“…Most admissions with diverticular disease are due to diverticulitis. The incidence of diverticular disease may be increasing, but the total number of admissions has often been used as the numerator, not accounting for possible readmission of the same individuals, or admission counts rather than rates have been reported, such that the true incidence may be elusive ( Table S1 , supporting information).…”

Section: Introductionmentioning

confidence: 99%

Incidence and lifetime risk of hospitalization and surgery for diverticular disease

Sköldberg

Granlund

Discacciati

et al. 2019

British Journal of Surgery

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Background: Studies on incidence rates of first-time colonic diverticular disease are few, and population-based estimates of lifetime risk are lacking. In this observational study, the incidence, admission rates and lifetime risks of hospitalization and surgery for diverticular disease were investigated. Methods: Considering the entire Swedish population as an open cohort, incidence and admission rates, and lifetime risk estimates (considering death as a competing risk) of hospitalization and surgery for diverticular disease were calculated using data from cross-linked national registers and population statistics from 1987 to 2010.Results: In total, there were 144 107 hospital admissions for diverticular disease in 95 049 individual patients. Of these, 17 599 were admissions with bowel resection or stoma formation in 16 824 patients. The total number of person-years in the population during the study period was 213 949 897. Age-standardized incidence rates were 47⋅4 (95 per cent c.i. 47⋅1 to 47⋅7) for first-time hospitalization with diverticular disease and 8⋅4 (8⋅2 to 8⋅5) per 100 000 person-years for diverticular disease surgery. The corresponding admission rates (including readmissions) were 70⋅8 (70⋅4 to 71⋅2) and 8⋅7 (8⋅6 to 8⋅9) per 100 000 person-years. Following an increase in 1990-1994, rates stabilized. Based on incidence and mortality rates from 2000 to 2010, the estimated remaining lifetime risk of hospitalization from 30 years of age was 3⋅1 per cent in men and 5⋅0 per cent in women. The corresponding risk of surgery was 0⋅5 per cent in men and 0⋅8 per cent in women.Conclusion: Diverticular disease is a common reason for hospital admission, particularly in women, but rates are stable and the lifetime risk of surgery is low.

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Fourteen-Year Study of Hospital Admissions for Diverticular Disease in Ontario

Abstract: Diverticular disease is an important cause of gastrointestinal morbidity. As the population ages, a rise in the incidence of diverticular disease can be anticipated. Future studies to explain sex difference in admissions are required.

Cited by 130 publications

References 10 publications

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

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

Case Study: Inverted Diverticulum. Colonoscopy Evaluation Prior to Intervention

Incidence and lifetime risk of hospitalization and surgery for diverticular disease

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