Surgical management of right colon diverticulitis

Ngoi, S. S.; Chia, Joanne; Goh, Matthew; Sim, Ernst; Rauff, A

doi:10.1007/bf02050332

Cited by 90 publications

(44 citation statements)

References 9 publications

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“…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. It is interesting to note that in these studies, there was little complicated diverticulitis in recurrent cases: Fang et al [5] reported three complicated cases in 10 recurrences in 42 patients receiving conservative treatments, and Harada et al [30] reported one complicated case in four recurrences in 29 patients.…”

Section: Discussionmentioning

confidence: 97%

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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Section: Discussionmentioning

confidence: 97%

Image-guided conservative management of right colonicdiverticulitis

Park¹,

Choi²,

Lee³

et al. 2009

WJG

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“…ha comunicado una mejor respuesta al tratamiento médico que en diverticulitis del colon izquierdo y que la historia natural es benigna a pesar de su evolución 7,9,11 . La recurrencia oscila entre el 10% y el 25% durante seguimientos a 10 años y no se han comunicado complicaciones severas durante las mismas 12,13 .…”

Section: Discussionunclassified

Diverticulitis de la flexura hepática del colon

Pugliese¹,

Viscido²,

Picón-Molina³

et al. 2013

Rev Chil Cir

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Colonic hepatic flexure diverticulitisObjective: Right colon diverticulitis is a rare entity in our means. Frequently, this entity is mistaken for other abdominal conditions, usually appendicitis, right colon cancer or acute cholecystitis. We found no specific reports about their location in the hepatic flexure of the colon. Material and Method: 58-years-old male who consulted the emergency department with abdominal pain and palpable mass in right upper quadrant. Abdominal CT revealed diverticulitis of the hepatic flexure of the colon. Results: Successful outcome with medical treatment. The patient is asymptomatic at 3 months of follow. Conclusion: Diverticulitis of the hepatic flexure of the colon is a rare entity that can mimic other diseases and usually responds to conservative treatment.Key words: Diverticulitis, right colon, medical treatment. ResumenIntroducción: La diverticulitis del colon derecho es una entidad poco frecuente en nuestro medio. Con relativa frecuencia, esta entidad es confundida con otros procesos abdominales, habitualmente apendicitis, cáncer de colon derecho o colecistitis aguda. No encontramos reportes específicos sobre su localización en la flexura hepática del colon. Material y Método: Varón 58 años quien consultó en urgencias por dolor abdominal y masa palpable en hipocondrio derecho. Se realiza TC abdominal que revela diverticulitis del ángulo hepático del colon. Resultados: buena evolución con tratamiento médico; el paciente se encuentra asintomático a tres meses del alta. Conclusión: La diverticulitis del ángulo hepático del colon es una entidad poco habitual, que puede simular otras patologías y que habitualmente responde al tratamiento conservador.Palabras clave: Diverticulitis, colon derecho, tratamiento médico.

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Section: Introductionmentioning

confidence: 99%

“…For example, a computed tomography (CT) scan may generate confusion between right-sided diverticulitis and carcinoma or severe ischemic colitis [13]. In those patients, the knowledge of right-sided diverticula helps to avoid unnecessary medical and/or surgical approach [13]. Diverticulosis of the left colon is much more frequent, and the risk of acute diverticulitis occurrence in those patients is about 1/1000 lifetime [8].…”

Section: Introductionmentioning

confidence: 99%

The Role of Colonoscopy in Managing Diverticular Disease of the Colon

Tursi

2015

JGLD

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Diverticulosis of the colon is frequently found on routine colonoscopy, and the incidence of diverticular disease and its complications appears to be increasing. The role of colonoscopy in managing this disease is still controversial.Colonoscopy plays a key role in managing diverticular bleeding. Several techniques have been effectively used in this field, but band ligation seems to be the best in preventing rebleeding. Colonoscopy is also effective in posing a correct differential diagnosis with other forms of chronic colitis involving colon harbouring diverticula (in particular with Crohn's disease or Segmental Colitis Associated with Diverticulosis). The role of colonoscopy to confirm diagnosis of uncomplicated diverticulitis is still under debate, since the risk of advanced colonic neoplasia in patients admitted for acute uncomplicated diverticulitis is not increased as compared to the average-risk population. On the contrary, colonoscopy is mandatory if patients complain of persistent symptoms or after resolution of an episode of complicated diverticulitis. Finally, a recent endoscopic classification, called Diverticular Inflammation and Complications Assessment (DICA), has been developed and validated. This classification seems to be a promising tool for predicting the outcome of the colon harboring diverticula, but further, prospective studies have to confirm its predictive role on the outcome of the disease.

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Surgical management of right colon diverticulitis

Cited by 90 publications

References 9 publications

Image-guided conservative management of right colonicdiverticulitis

Image-guided conservative management of right colonicdiverticulitis

Diverticulitis de la flexura hepática del colon

The Role of Colonoscopy in Managing Diverticular Disease of the Colon

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