Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack

Park, Hyoung-Chul; Kim, Byung Seup; Lee, Kwanseop; Kim, Min Jeong; Lee, Bong Hwa

doi:10.1007/s00384-014-1941-8

Cited by 25 publications

(17 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…So far, however, the risk factors for recurrent RCD remain unclear. Park et al found that the recurrence rate following conservative treatment of acute uncomplicated RCD was 15.8% after the first attack, and that the risk of recurrence was high in patients with multiple diverticula and intraperitoneally located diverticulitis [17]. A recent systematic review showed that acute colonic diverticulitis with abscess formation, a young age and previous recurrences all increased the risk of recurrence [25].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, some patients are at risk of exacerbation and emergent surgery need to be performed, in which case right colectomy could be required. Furthermore, about 6.8-20.5% of cases with RCD develop recurrence after conservative management [12,16,17]. Thus, conservative treatment may thus not be the best option for every patient with acute RCD but there is no definitive treatment strategy for acute RCD.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Management and long-term outcomes of acute right colonic diverticulitis and risk factors of recurrence

Chen

Zhou

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Acute right-sided colonic diverticulitis (RCD) is a common disease in Asian populations for which the optimal treatment remains controversial. The aim of this study was to investigate management and evaluate long-term outcomes of treatment in patients with acute RCD. Methods: We retrospectively collected and analyzed clinical data for patients with acute RCD admitted to the Tongren Hospital, Shanghai Jiao Tong University School of Medicine from December 2015 to December 2020. The patients were divided into two groups, according to primary treatment strategy, which was either conservative treatment or surgical treatment. Results: A total of 162 consecutive patients with acute RCD were enrolled in the study. There was no significant difference in age, sex, history of abdominal surgery, medical co-morbidities, fever, previous history of RCD, treatment success rate and incidence of complications between the conservative and surgery groups. However, the recurrence rate in conservative groups was significantly higher than in surgery groups (16.53% vs 2.44%, P = 0.020). And more frequent bowel movements and previous history of RCD increased the risk of recurrence of acute RCD. Moreover, there was no significant difference in either treatment success rate or the overall recurrence rate between the patients with uncomplicated diverticulitis and patients with complicated diverticulitis. Conclusions: Surgical treatment is also safe and effective for acute RCD. Surgical treatment should mainly be considered for patients with acute RCD with recurrence risk factors (more frequent bowel movements and previous history of RCD) or with complicated acute RCD.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management and long-term outcomes of acute right colonic diverticulitis and risk factors of recurrence

Chen

Zhou

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…There is strong evidence to support non-operative management of right-sided AD. 24,25 However, patients are frequently misdiagnosed as having acute appendicitis, leading to unnecessary surgery. 17,26 In regions with a high incidence of right-sided AD, patients with right lower quadrant pain may be more likely to have preoperative imaging, due to diagnostic uncertainty.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of right‐sided colonic diverticulosis in a New Zealand population

Turner

O’Grady

Senadeera

et al. 2021

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background: Once considered to be a congenital condition, the epidemiology of rightsided colonic diverticulosis (RCD) is evolving. Acute diverticulitis (AD) is a complication of RCD which is frequently misdiagnosed as appendicitis, resulting in unnecessary surgery, as there is strong evidence supporting medical management for right-sided AD. In general, the incidence of AD correlates with the prevalence of RCD, which shows marked geographic variation. Few data reporting RCD prevalence come from Western countries, so the aim of this study is to define the prevalence of RCD in a New Zealand population. Methods: Independent review of the imaging from 1000 consecutive patients undergoing a computed tomography Kidney/Ureter/Bladder scan for suspected urolithiasis at Christchurch Hospital between January and November 2017 was undertaken, to determine the presence or absence, and distribution of colonic diverticulosis. Patients were excluded if they had a history of colonic resection, known IBD, or were less than 18-years old.Results: Thirty-one patients were excluded, leaving 969 eligible patients. Overall, 95 patients (9.8%) had RCD identified. The prevalence of RCD increased significantly with advancing age, being present in 2.3% of those aged 18-29, increasing to 20.3% in those greater than 70-years old (p < 0.001). Conclusion:The prevalence of RCD in a New Zealand population is relatively high and increases significantly with age. This adds support to the role of cross-sectional imaging in the evaluation of suspected appendicitis, to exclude right-sided AD. The association with advancing age supports RCD being an acquired condition rather than a congenital condition as was previously thought.

show abstract

“…The clinical and laboratory findings between recurrence and no recurrence group were not significantly different. One study, however, reported that multiple diverticula and intraperitoneally located diverticulitis were associated with high risks of recurrence . Additional studies are needed to determine the risk factors for recurrence after a first attack of right colonic diverticulitis that was successfully treated using conservative methods.…”

Section: Discussionmentioning

confidence: 99%

“…One study, however, reported that multiple diverticula and intraperitoneally located diverticulitis were associated with high risks of recurrence. 21 Additional studies are needed to determine the risk factors for recurrence after a first attack of right colonic diverticulitis that was successfully treated using conservative methods. To differentiate right colonic diverticulitis from acute appendicitis, we routinely perform abdominopelvic CT in patients with suspected appendicitis, excluding pregnant women and children.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of conservative management in patients with right colonic diverticulitis

Lee

2015

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack

Abstract: In patients with right colonic uncomplicated diverticulitis who have multiple diverticula and intraperitoneally located diverticulitis, the possibility of recurrence and surgical rate are high. Poor outcome may be cautioned in these patients.

Cited by 25 publications

References 25 publications

Management and long-term outcomes of acute right colonic diverticulitis and risk factors of recurrence

Management and long-term outcomes of acute right colonic diverticulitis and risk factors of recurrence

The prevalence of right‐sided colonic diverticulosis in a New Zealand population

Efficacy of conservative management in patients with right colonic diverticulitis

Contact Info

Product

Resources

About