Right-sided diverticulosis is an independent risk factor for bleeding in patients admitted for diverticular disease

Arena, Rosario; Lisotti, Andrea; Mussetto, Alessandro; Merighi, A.; Pezzoli, Alessandro; Triossi, O.

doi:10.1016/j.dld.2020.09.027

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…Interestingly, our study identified that the location of the colon diverticula was associated with the occurrence of rCDB. Patients with bilateral colon diverticula had a higher occurrence of rCDB, which was similar to previous studies (24,26,27). We also demonstrated that patients with sigmoid colon diverticula had a higher occurrence of rCDB.…”

Section: Discussionsupporting

confidence: 91%

Risk factors for patients hospitalized with recurrent colon diverticular bleeding: a single center experience

You,

Kim,

Cho

et al. 2023

Front. Med.

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Background/aimsColonic diverticular bleeding (CDB) is a common cause of acute lower gastrointestinal bleeding. Patients with CDB are at increased risk for recurrence. Here, we aimed to evaluate the clinical course of patients with CDB and identify risk factors for recurrent CDB (rCDB).MethodsWe included patients who were hospitalized at a single tertiary center for management of CDB between January 2005 and March 2020. A Cox proportional hazards regression analysis was performed to evaluate the risk factors of patients with rCDB as follows: model 1 adjusted by age, Charlson comorbidity index (CCI), and presence of bilateral colon diverticula; model 2 adjusted by age, CCI, and presence of left side colon diverticula; model 3 adjusted by age, CCI, and presence of sigmoid colon diverticula.ResultsAmong 219 patients (mean age, 68.0 years; 55 females), 56 and 163 had definite and presumptive CDB, respectively. During the median period of 506 days, 62 patients (28.3%) experienced rCDB. CCI score ≥ 4 was independently associated with rCDB in models 1, 2 and 3 (all p < 0.05). Age ≥ 75 years was independently associated with rCDB in models 1 and 2 (both p < 0.05). The presence of bilateral colon and sigmoid colon diverticula were independently associated with rCDB in models 1 and 3, respectively (both p < 0.05).ConclusionrCDB frequently occurred at any time in patients with previous CDB. High CCI scores and distribution of colon diverticula were associated with rCDB. Clinicians should consider a possible rCDB for a patient considering age, comorbidity, and distribution of colon diverticula.

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Section: Discussionsupporting

confidence: 91%