Smoking and the risk of diverticular disease in women

Hjern, Fredrik; Wolk, Alicja; Håkansson, Niclas

doi:10.1002/bjs.7477

Cited by 104 publications

(93 citation statements)

References 47 publications

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“…A larger population-based study of females reported a 1.23 fold increased risk (Relative risks (RR) 1.23, 95% CI 0.99-1.52) in current smokers of symptomatic diverticular disease when accounting for other confounding factors compared to non-smokers. The study also reported a greater risk of developing a perforation or abscess in current smokers compared to non-smokers (RR 1.89, 95% CI 1.15 to 3.10) 12 . However a study of the American Health Care Professionals (AHCP) cohort found no increased association between smoking and symptomatic diverticular disease when accounting for other confounding factors in males 13 .…”

Section: Introductionmentioning

confidence: 84%

“…The study also lacked power as the analysis of smoking was based on only 45 events as opposed to the 4209 events in our study. A study reporting on the risk of symptomatic diverticular disease from the Swedish Mammography cohort reported a 1.26 fold increase in risk of symptomatic diverticular disease in current smokers compared to non-smokers and they were unable to report a dose-response relationship 12 . Our current estimates are greater than these with a 1.6 fold increase in risk of symptomatic disease in those smoking more than 15 cigarettes a day compared to non-smokers.…”

Section: Discussionmentioning

confidence: 99%

“…This risk was greatest in those who were heavy smokers. Women who smoke have been reported to have a 1.9 fold increased risk of diverticular abscess and perforation 12 . Those smoking greater than 10 cigarettes a day had the greatest increase in risk (RR 2.30 95% CI 1.26-4.20) 12 .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Smoking and the Risk of Hospitalization for Symptomatic Diverticular Disease

Humes

Ludvigsson

Järvholm

2016

Diseases of the Colon &Amp; Rectum

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Section: Introductionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Smoking and the Risk of Hospitalization for Symptomatic Diverticular Disease

Humes

Ludvigsson

Järvholm

2016

Diseases of the Colon &Amp; Rectum

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“…[21][22][23] Therefore, the aim in IS patients is to avoid diverticulitis. Smoking and obesity are known to increase the incidence of diverticulitis and complicated diverticulitis [24][25][26][27] ; in contrast physical activity prevents diverticulitis and reduces the risk of complicated diverticulitis. 28,29 The effects of nutrition habits on diverticulitis are controversial.…”

Section: Discussionmentioning

confidence: 99%

Diverticulitis in immunosuppressed patients: A fatal outcome requiring a new approach?

Brandl

Kratzer

Kafka-Ritsch

et al. 2016

cjs

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“…In our case, the patient was a heavy smoker (more than 10 cigarettes/day), but quit smoking after pregnancy. A population-based prospective study of Swedish women demonstrated that smoking was associated with symptomatic diverticular disease and the risk of complications was almost doubled among current smokers compared with non-smokers [6]. It may be difficult to make a differential diagnosis of cecal diverticulitis from acute appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Conservative management of cecal diverticulitis mimicking acute appendicitis in a pregnant woman

Choi

Song

Kim

et al. 2012

Korean J Obstet Gynecol

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A 24-year-old pregnant woman was referred for further evaluation and treatment of the right lower quadrant pain at 19 +1 weeks gestational age. The patient was diagnosed to be acute appendicitis and underwent laparoscopic surgery. However, an inflamed solitary cecal diverticulum was found during surgery. After a routine appendectomy, cecal diverticulitis was conservatively treated with postoperative antibiotics without signs of peritonitis. To date, most of the non-pregnant women with cecal diverticulitis have been managed surgically. Our case indicates that a pregnant patient with cecal diverticulitis could be managed medically during pregnancy. Keywords Copyright © 2012. Korean Society of Obstetrics and GynecologyCecal diverticulitis is a rare condition that was first described by Potier [1] in 1912. Right-sided colonic diverticulitis shows a higher prevalence in Oriental countries than in Western countries [2]. It is well known that its incidence is increasing with the growth of the elderly population [3]. Diverticulosis is a rare condition during gestation. Almost all the cases of cecal diverticulitis are found after exploration for suspected acute appendicitis because there is a close resemblance in clinical features between cecal diverticulitis and acute appendicitis. Pregnancy causes changes in the physiologic and anatomical findings of the gastrointestinal tract. This poses a diagnostic and therapeutic challenge for clinicians during pregnancy. With a rare presentation of cecal diverticulitis during pregnancy, there are no established protocols for the diagnosis and treatment of it. To date, an aggressive surgical intervention has been advocated to minimize the risk of maternal morbidity and fetal loss due to complications resulting from delayed diagnosis such as inflammation, perforation, and, hemorrhage [2]. We experienced a case of cecal diverticulitis during pregnancy and then successfully treated with postoperative antibiotic treatments without resection. Our case indicates that a patient with cecal diverticulitis during pregnancy could be medically managed. Here, we report our case with a review of literatures. Case ReportA 24-year-old, gravid 1, para 0, woman was referred to the emergency care center for further evaluation and treatment of the right lower quadrant (RLQ) pain at 19 +1 weeks of gestational age. Three days prior to visit, the patient first experienced RLQ pain concurrently with nausea and four episodes of diarrhea. After then, the patient presented with an intermittent pain, cramping and getting more severe in nature. The patient had no notable past history and her pregnancy course was uneventful. The patient had a 1 pack-a-day smoking history, but quit smoking after pregnancy. On physical examination, the patient had a body temperature of CASE REPORT Korean J Obstet Gynecol 2012;55(12):986-989 http://dx

show abstract

Smoking and the risk of diverticular disease in women

Abstract: Smoking is associated with symptomatic diverticular disease.

Cited by 104 publications

References 47 publications

Smoking and the Risk of Hospitalization for Symptomatic Diverticular Disease

Smoking and the Risk of Hospitalization for Symptomatic Diverticular Disease

Diverticulitis in immunosuppressed patients: A fatal outcome requiring a new approach?

Conservative management of cecal diverticulitis mimicking acute appendicitis in a pregnant woman

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