Right colonic diverticulitis: US and CT findings--new insights about frequency and natural history.

Oudenhoven, L. F. I. J.; Koumans, R. K. J.; Puylaert, J. B. C. M.

doi:10.1148/radiology.208.3.9722836

Cited by 102 publications

(80 citation statements)

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“…To date, no therapeutic guidelines for patients with right colonic diverticulitis have been established [3,[6][7][8][9][19][20][21] . In contrast, practice parameters for the treatment of left colonic diverticulitis do exist [17] .…”

Section: Discussionmentioning

confidence: 99%

“…Oudenhoven et al [7] reviewed 44 patients with right colonic diverticulitis in a Western population (including one Asian patient). Forty one patients were successfully treated conservatively and three patients underwent diverticulectomy.…”

Section: Discussionmentioning

confidence: 99%

“…If recurrence is high and complications frequent, surgical resection is essentially required. However, after successful conservative treatment, a recurrence rate of 3.6% to 23.8% has been reported in the literature [5,7,8,20,21,30] . Ngoi et al [31] reported a recurrence rate of 1.5%, but 38% of their patients underwent diverticulectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have focused on left colonic diverticulitis and subsequently, therapeutic guidelines have been established, while that of right colonic diverticulitis still remains controversial [2][3][4][5][6][7][8] . In the past, the majority of patients with right colonic diverticulitis were faced with an operation for presumed appendicitis [3,4,9] .…”

Section: Introductionmentioning

confidence: 99%

“…Much of this information is based on case series data, which have relatively small sample sizes and the preoperative diagnosis was not made using imaging studies. Recent studies suggest that colonic diverticulitis can be correctly diagnosed by computed tomography (CT) scan [6,7,10] , or ultrasonography (US) [11][12][13][14] , and with the use of these imaging studies, right colonic diverticulitis is more common than has been previously assumed [7] . The aim of this study was to evaluate the clinical course and results of medical therapy in patients with right colonic diverticulitis, of which the final diagnosis was based on radiographic evidence from CT or US, or operative findings.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Image-guided conservative management of right colonicdiverticulitis

Park¹,

Choi²,

Lee³

et al. 2009

WJG

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AIM:To study the clinical outcomes of medical therapy in patients with right colonic diverticulitis. METHODS:The records of 189 patients with right colonic diverticulitis which was finally diagnosed by computed tomography, ultrasonography, or operative findings were retrospectively reviewed. RESULTS:Of the 189 patients hospitalized for right colonic diverticulitis, the stages of diverticulitis by a modified Hinchey classification were 26 patients (13.8%) in stage 0, 139 patients (73.5%) in stage Ⅰ a, 23 patients (12.2%) in stage Ⅰb, and 1 patient (0.5%) in stage Ⅲ. Medical therapy was undertaken in 185 of 189 patients (97.9%). One hundred and eighty three of 185 patients were successfully treated with bowel rest and antibiotics. Two patients in stage Ⅰb required a resection or surgical drainage because of an inadequate response to conservative treatment. Recurrent diverticulitis developed in 15 of 183 patients (8.2%) who responded to medical therapy. All 15 patients who suffered a second attack had uncomplicated diverticulitis, and were successfully treated with medical therapy. CONCLUSION:Our results indicate that right colonic diverticulitis is essentially benign and image-guided conservative treatment is primarily required.

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