The Impact of Ethnicity and Obesity on the Course of Colonic Diverticulitis

Bose, Konika; Khorshidi, Igal; Southern, William N.; Brandt, Lawrence J.

doi:10.1097/mcg.0b013e318259e71c

Cited by 18 publications

(19 citation statements)

References 16 publications

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“…Although we verified the accuracy of electronic coding for identifying diverticulitis, its complications, and surgery, the clinical diagnosis of diverticulitis may have been inaccurate in some patients (28). The relationship between obesity and the course of diverticulitis was not assessed (35, 44). The incidence of irritable bowel syndrome after diverticulitis was not assessed.…”

Section: Discussionmentioning

confidence: 99%

Temporal Trends in the Incidence and Natural History of Diverticulitis: A Population-Based Study

Bharucha

Parthasarathy

Ditah

et al. 2015

American Journal of Gastroenterology

232

189

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Background & Aims Data on the incidence and natural history of diverticulitis are largely hospital-based and exclude the majority of diverticulitis patients, who are treated in an outpatient setting for uncomplicated diverticulitis. We assessed temporal trends in the epidemiology of diverticulitis in the general population. Methods Through the Rochester Epidemiology Project we reviewed the records of all individuals with a diagnosis of diverticulitis from 1980–2007 in Olmsted County, Minnesota. Results In 1980–1989 the incidence of diverticulitis was 115/100,000 person-years, which increased to 188/100,000 in 2000–2007 (P<.001). Incidence increased with age (P<.001); however, the temporal increase was greater in younger people (P<.001). Ten years after the index and second diverticulitis episodes, 22% and 55% had a recurrence, respectively. This recurrence rate was greater in younger people (hazard ratio [HR] per decade 0.63; 95% confidence interval [CI], 0.59–0.66) and women (HR 0.68; 95% CI, 0.58–0.80). Complications were seen in 12%; this rate did not change over time. Recurrent diverticulitis was associated with a decreased risk of complications (P<.001). Age was associated with increased risk of local (odds ratio [OR] 1.27 per decade; 95% CI, 1.04–1.57) and systemic (OR 1.83; 95% CI, 1.20–2.80) complications. Survival after diverticulitis was lower in older people (P<.001) and men (P<.001) and worsened over time (P<.001). The incidence of surgery for diverticulitis did not change from 1980–2007. Conclusions The incidence of diverticulitis has increased by 50% in 2000–2007 compared to 1990–1999, and more so in younger people. Complications are relatively uncommon. Recurrent diverticulitis is frequent but typically uncomplicated. Younger people with diverticulitis had less severe disease, more recurrence, and better survival.

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Section: Discussionmentioning

confidence: 99%

Temporal Trends in the Incidence and Natural History of Diverticulitis: A Population-Based Study

Bharucha

Parthasarathy

Ditah

et al. 2015

American Journal of Gastroenterology

232

189

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“…US data from a study including patients hospitalized with acute diverticulitis reported discrepant need for surgery, where African Americans required surgery more frequently than Hispanics and Caucasians. (69) The precise reasons for the ethnic/ racial discrepancies in localization and natural history are unclear.…”

Section: Ethnicitymentioning

confidence: 99%

Lifestyle Factors in Late Adolescence Associate With Later Development of Diverticular Disease Requiring Hospitalization

Jarbrink-Sehgal

Schmidt

Sköldberg

et al. 2018

Clinical Gastroenterology and Hepatology

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“…BMI, waist circumference, and waist-to-hip ratio significantly increase the risks of diverticulitis, diverticular bleeding [ 99 ], perforation [ 100 ], and recurrence [ 101 ]. A previous study on few obese patients resulted in the presence of diverticulosis without diverticulitis [ 102 ].…”

Section: Surgical Diseases Associated With Obesitymentioning

confidence: 99%

Obesity Disease and Surgery

Al-Mulhim

Al-Hussaini

Al-Jalal

et al. 2014

International Journal of Chronic Diseases

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Obesity is a medical disease that is increasing significantly nowadays. Worldwide obesity prevalence doubled since 1980. Obese patients are at great risk for complications with physical and psychological burdens, thus affecting their quality of life. Obesity is well known to have higher risk for cardiovascular diseases, diabetes mellitus, musculoskeletal diseases and shorter life expectancy. In addition, obesity has a great impact on surgical diseases, and elective surgeries in comparison to general population. There is higher risk for wound infection, longer operative time, poorer outcome, and others. The higher the BMI (body mass index), the higher the risk for these complications. This literature review illustrates the prevalence of obesity as a diseases and complications of obesity in general as well as, in a surgical point of view, general surgery perioperative risks and complications among obese patients. It will review the evidence-based updates in these headlines.

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The Impact of Ethnicity and Obesity on the Course of Colonic Diverticulitis

Cited by 18 publications

References 16 publications

Temporal Trends in the Incidence and Natural History of Diverticulitis: A Population-Based Study

Temporal Trends in the Incidence and Natural History of Diverticulitis: A Population-Based Study

Lifestyle Factors in Late Adolescence Associate With Later Development of Diverticular Disease Requiring Hospitalization

Obesity Disease and Surgery

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