Emergency surgery for colonic diverticulitis: differences between right-sided and left-sided lesions

Law, Wai Lun; Lo, Chung‐Yau; Chu, Kin Wah

doi:10.1007/s003840100339

Cited by 56 publications

(50 citation statements)

References 23 publications

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“…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: 72%

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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“…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: 72%

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

Wegdam¹,

Andeweg²

2016

J Gastrointest Dig Syst

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“…14 And the occurrence risk of DD depends on the location. 15,16 Therefore, it is necessary to research according to location of DD. There are some limitations in present study.…”

Section: 13mentioning

confidence: 99%

Are There Any Association Between Colonic Diverticula and Bowel Symptoms?(Neurogastroenterol Motil 2015;27:333-338)

Shin

2015

J Neurogastroenterol Motil

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“…Traditional quantitative echography of intraocular tumors is performed with two-dimensional standardized A scan and B scan echography, with and without utilization of contrast agents [5,6,7,8]. If compared with two-dimensional ultrasound, 3DUS potentially allows for more accurate and reproducible volume measurements because the various display modalities allow the observer to correct for any surface irregularities [9].…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Ultrasound of Ophthalmic Pathologies

Forte¹,

Cennamo²,

Breve³

2009

Ophthalmologica

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Purpose: To assess three-dimensional echography image quality and multiplanar imaging for the visualization of vitreoretinal and choroidal diseases. Methods: In an observational cross-sectional study, 20 eyes of 20 patients presenting different vitreoretinal and choroidal pathologies have been evaluated with three-dimensional ultrasonography (3DUS). Results: Of the 20 eyes, an epiretinal membrane was present in 2 eyes, diabetic macular edema in 6, a macular hole in 2, a myopic posterior detachment in 2, myopic peripapillary detachment of the pigment epithelium in 1, choroidal melanoma in 4, optic nerve glioma in 1 case, carotidocavernous fistula in 1 and an intravitreal dislocation of an intraocular lens in 1 eye. 3DUS was effective in wide-field representation of the vitreoretinal interface during macular edema, in good-quality visualization of the dislocated intraocular lens and in calculating the volume of choroidal melanoma. No advantages were found in other evaluated cases if compared with the already existing imaging techniques. Conclusions: One of the main advantages of 3DUS was the possibility to obtain a wide-field representation of spatial relationships between the lesions and the surrounding ocular structures.

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Emergency surgery for colonic diverticulitis: differences between right-sided and left-sided lesions

Abstract: There are major differences in the demographics, presentation, type of operation and outcome of patients who had emergency surgery for colonic diverticulitis, with emergency operation for left-sided diverticulitis being associated with higher mortality and morbidity.

Cited by 56 publications

References 23 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

Are There Any Association Between Colonic Diverticula and Bowel Symptoms?(Neurogastroenterol Motil 2015;27:333-338)

Three-Dimensional Ultrasound of Ophthalmic Pathologies

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