The Diagnosis and Treatment Approach in Acute Colon Diverticulutis.

Emiroğlu, Mustafa; Uğurlu, Levent; Karaalı, Cem; Kaya, Tayfun; Ozguzer, Alp; Aydın, Cengiz

doi:10.5222/terh.2015.106

Cited by 1 publication

(2 citation statements)

References 17 publications

(26 reference statements)

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“…Although the diagnosis of complicated diverticulitis is somewhat standardized, surgical treatment is supported by a limited number of studies. 41% of colorectal diseases requiring emergency hospitalization are diverticular disease, 20% of which are operated on [2]. Despite the fact that the use of advanced technology, such as high speed CT, enable earlier and more accurate diagnosis [3], the number of publications mentioning a rise in the progression and rate of complicated diverticulitis have recently increased [4].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the fact that the use of advanced technology, such as high speed CT, enable earlier and more accurate diagnosis [3], the number of publications mentioning a rise in the progression and rate of complicated diverticulitis have recently increased [4]. The prevalence of complicated diverticulitis is 10%, and while its mortality rate is 6% for Hinchey III, it is 35% for Hinchey IV [5,2,6]. We evaluated 1000 patients who presented to the emergency service with acute abdomen.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Complicated Diverticulitis Rates in Acute Abdominal Cases

Turan¹,

Çeliker²,

Zengin³

et al. 2019

JSTR

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Background: The location of diverticulitis, the frequency of the concomitant findings, and the severity of diverticulitis were detected in the abdominal CTs of the patients who presented to the emergency service with complaint of acute abdomen due to complicated diverticulitis. The necessity of CT evaluation was emphasized using classification. Aims: The aim of this study is to raise awareness about the fact that the abdominal CTs should be evaluated by classification in order to guide a physician encountering a patient with complicated diverticulitis who presented with acute abdomen for the first time to the correct treatment option. Study Design: The present study protocol was reviewed and approved by the Recep Tayyip Erdoğan University Local Ethics Committee (approval No. 40465587-40). Informed consent was submitted by all subjects when they were enrolled. The approval of and the permission for study from the training and research hospital management was received. The data of the patients over the age of 35 who presented to the emergency service of our hospital from 2014-2016 with the complaint of acute abdomen was retrospectively evaluated. The medical information of the patients kept in the system records was reviewed. Methods: The contrast abdominal CTs of 1000 patients were examined. 56 patients with diverticular disease were divided into two groups; non-complicated and complicated diverticulitis. The group with complicated diverticulitis was classified by two radiologists using modified Hinchey classification. The data obtained was statistically analyzed using the Pearson Chi-Square Test. Results: Diverticular disease was detected in 5.6 of 1000 patients, 2.3% of which was non-complicated, while 3.3% was complicated. Of the patients with complicated diverticulitis, 2.1% were classified as having Hinchey Ia, 0.4% Hinchey Ib, 0.2% Hinchey II, 0.3% Hinchey III, and 0.3% Hinchey IV diverticulitis. Of the patients with diverticular disease, 58.8% developed complicated diverticulitis, 18.2% of whom developed Hinchey III-IV diverticulitis requiring inpatient conservative and surgical treatment. Descenden and sigmoid colon involvement was seen primarily (60.9%). Of the six patients with possibility

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Section: Introductionmentioning

confidence: 99%