The diagnostic criteria for right colonic diverticulitis: prospective evaluation of 100 patients

Lee, In Kyu; Jung, Seung Eun; Gorden, D. Lee; Lee, Yoon Suk; Jung, Dae Young; Oh, Seong Taek; Kim, Jun-Gi; Jeon, Hae Myung; Chang, Sea‐Jin

doi:10.1007/s00384-008-0512-2

Cited by 39 publications

(61 citation statements)

References 16 publications

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“…Right-sided colonic diverticulitis has been reported to occur predominantly in relatively young males whereas left-sided diverticular disease is more common in women, with its incidence increasing with age [56789]. The present study also found that left-sided colonic diverticulitis was significantly associated with both older age and female sex.…”

Section: Discussionsupporting

confidence: 67%

Management of Colonic Diverticulitis Tailored to Location and Severity: Comparison of the Right and the Left Colon

Chung

Lee

2016

Ann Coloproctol

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PurposeThis study assessed optimal management of colonic diverticulitis as functions of disease location and severity and factors associated with complicated diverticulitis.MethodsThis retrospective review analyzed 202 patients diagnosed between 2007 and 2014 at Chonbuk National University Hospital, South Korea, with colonic diverticulitis by using abdominopelvic computed tomography. Diverticulitis location was determined, and disease severity was categorized using the modified Hinchey classification.ResultsPatients included 108 males (53.5%) and 94 females (46.5%); of these, 167 patients (82.7%) were diagnosed with right-sided and 35 (17.3%) with left-sided colonic diverticulitis. Of the 167 patients with right-sided colonic diverticulitis, 12 (7.2%) had complicated and 155 (92.8%) had uncomplicated diverticulitis; of these, 157 patients (94.0%) were successfully managed conservatively. Of the 35 patients with left-sided colonic diverticulitis, 23 (65.7%) had complicated and 12 (34.3%) had uncomplicated diverticulitis; of these, 23 patients (65.7%) were managed surgically. Among patients with right-sided diverticulitis, those with complicated disease were significantly older (54.3 ± 12.7 years vs. 42.5 ± 13.4 years, P = 0.004) and more likely to be smokers (66.7% vs. 32.9%, P = 0.027) than those with uncomplicated disease. However, among patients with left-sided diverticulitis, those with complicated disease had significantly lower body mass index (BMI; 21.9 ± 4.7 kg/m2 vs. 25.8 ± 4.3 kg/m2, P = 0.021) than those with uncomplicated disease.ConclusionConservative management may be effective in patients with right-sided diverticulitis and patients with uncomplicated left-sided colonic diverticulitis. Surgical management may be required for patients with complicated left-sided diverticulitis. Factors associated with complicated diverticulitis include older age, smoking and lower BMI.

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Section: Discussionsupporting

confidence: 67%

Management of Colonic Diverticulitis Tailored to Location and Severity: Comparison of the Right and the Left Colon

Chung

Lee

2016

Ann Coloproctol

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“…1, 2 About 10-25% of the diverticulosis patients develop acute sigmoid diverticulitis in the course of their lives. [3][4][5] Epidemiological data show a disproportionately increased incidence in young patients. 14,20,23 The course and therapeutic regimen for these patients are still controversially discussed.…”

Section: Discussionmentioning

confidence: 99%

“…1, 2 About 10-25% of these patients develop acute sigmoid diverticulitis. [3][4][5] Its clinical spectrum extends from asymptomatic diverticulosis with recurrent courses to symptomatic disease with potentially fatal complications. 6 The indication for surgical intervention depends on several factors.…”

Section: Introductionmentioning

confidence: 99%

Sigmoid Diverticulitis in Young Patients—A More Aggressive Disease than in Older Patients?

Ritz

Lehmann

Stroux

et al. 2011

Journal of Gastrointestinal Surgery

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“…It can present a significant diagnostic challenge, especially with acute appendicitis (Fig. 5) [17, 18]. Actually, the clinical preoperative diagnosis rate of right CD is as low as 5–35% [17, 19].…”

Section: Pitfalls Related To Anatomical Factorsmentioning

confidence: 99%

CT findings of misleading features of colonic diverticulitis

et al. 2010

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Colonic diverticulitis (CD) is a common entity whose diagnosis is particularly based on computed tomography (CT) examination, which is the imaging technique of choice. However, unusual CT findings of CD may lead to several difficulties and potential pitfalls: due to technical errors in the management of the CT examination, due to the anatomical situation of the diseased colon, in diagnosing unusual complications that may concern the gastrointestinal tract, intra- and retroperitoneal viscera or the abdominal wall, and in differentiating CD from other abdominal inflammatory and infectious conditions or colonic cancer. The aim of this work is to delineate the pitfalls of CT imaging and illustrate misleading CT features in patients with suspected CD.

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The diagnostic criteria for right colonic diverticulitis: prospective evaluation of 100 patients

Abstract: Performing CT scans after application of these diagnostic criteria gave a superior preoperative diagnostic rate for patients with RCD.

Cited by 39 publications

References 16 publications

Management of Colonic Diverticulitis Tailored to Location and Severity: Comparison of the Right and the Left Colon

Management of Colonic Diverticulitis Tailored to Location and Severity: Comparison of the Right and the Left Colon

Sigmoid Diverticulitis in Young Patients—A More Aggressive Disease than in Older Patients?

CT findings of misleading features of colonic diverticulitis

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