The outcomes of right-sided and left-sided colonic diverticulitis following non-operative management: a systematic review and meta-analysis

Huang, Song‐Chei; Sung, Chih-Wei; Wang, Hsiu-Po; Lien, Wan-Ching

doi:10.1186/s13017-022-00463-7

Cited by 7 publications

(8 citation statements)

References 56 publications

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“…These facts have been proclaimed in both Asian and Western series. 3,[35][36][37] Epifani et al 11 published a recent review describing RSD in western countries: only 16 patients out of 422 studied (3.8%) had a recurrence after a nonsurgical treatment with an average follow-up of 32.5 months. Even some of the authors did not report any recurrences in their studies.…”

Section: Discussionmentioning

confidence: 99%

Right‐sided acute diverticulitis in a North African country: Presentation and management in one surgical center

Jedidi,

Mabrouk,

Ghali

et al. 2024

World j. surg.

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PurposeRight‐sided diverticulitis is a rare entity in North Africa. Therefore, it is usually misdiagnosed, and the management of cecal diverticulitis is aggressive in most cases, whereas nowadays, most studies recommend a conservative approach with promising results. This study aims to describe the presentation, management, and outcomes of right‐sided diverticulitis (RSD) and to present the experience of one surgical center in Tunisia.MethodsThis is a retrospective study including all patients presented with RSD, in the Department of Surgery “A” of the Charles Nicolle Hospital between 2007 and 2021.ResultsForty patients were included in our study. The mean age was 42 years with a standard deviation of 14. The sex ratio was 1.1. Only 2 patients had chronic constipation. All patients presented right‐sided abdominal pain, and only 3 patients had diarrhea. Twenty one patients were diagnosed during surgery. Fourteen patients were treated successfully by conservative management. An operative procedure was performed in 26 cases: 21 had a diverticulectomy (80%), two had an ileal resection (8%), and three had a right colectomy (11.5%). No postoperative events occurred with a short hospital stay (5 ± 3 days). Follow‐up showed no recurrences.ConclusionRight‐sided diverticulitis has a lower incidence and complication rate compared to left‐sided diverticulitis. Conservative treatment has demonstrated favorable outcomes in managing RSD, although the available evidence remains limited.

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Section: Discussionmentioning

confidence: 99%

Right‐sided acute diverticulitis in a North African country: Presentation and management in one surgical center

Jedidi,

Mabrouk,

Ghali

et al. 2024

World j. surg.

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“…In the later stage of fermentation, due to the increase of microbial activity in the cocoa-added group, the consumption rate of reducing sugars increased, which may lead to more conversion to other compounds, thereby increasing the aroma components of wrapper. Through the determination of potassium chloride content and potassium chloride ratio in cigar leaveswrapper, combined with the results of sensory evaluation, it can be seen that the addition of cocoa medium can improve the combustion of wrapper, which may be related to the fact that cocoa itself contains more potassium ( Huang et al, 2022 ). The contents of proline and malic acid, which were positively correlated with sensory quality, were higher in the cocoa-added group than the water-added group.…”

Section: Discussionmentioning

confidence: 99%

Effects of adding cocoa fermentation medium on cigar leaves in agricultural fermentation stage

Zong,

Hu,

Huang

et al. 2023

Front. Bioeng. Biotechnol.

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Background and Objective: With the development of the world economy and the integration of cultures, the Chinese cigar market has shown a significant upward trend. However, high-quality cigar leaves are mostly produced in Dominica, Cuba, Nicaragua and other places. In contrast, Chinese cigar leaves have problems such as insufficient aroma, which has become one of the main factors restricting the development of Chinese cigars. Adding medium to ferment is a traditional method in the cigar industry. At present, it mostly relies on manual experience, and lacks systematic and scientific research. At the same time, the addition of medium fermentation is mainly concentrated in the industrial fermentation process, and has not yet begun to be applied in the agricultural fermentation process. In this study, the medium was added to the agricultural fermentation process for the first time to explore the possibility of the application. The effects of adding cocoa medium to ferment on the chemical composition, sensory quality and surface microbial diversity of eggplant core cigar leaves were investigated.wrapper.Method: With Dexue 7′ as the experimental material, the changes of main chemical components of wrapper fermented with water and cocoa medium were determined, and microbial community structure on the surface and relative abundance of cigar leaves at different turning periods were analyzed, and the functional genes were predicted. The results of the study were as follows: 1) The results of sensory evaluation showed that the addition of cocoa medium could highlight the aroma of bean, cocoa and coffee, improve the sweetness and fluency and the combustibility of cigar leaves. 2) The addition of cocoa medium increased the contents of proline and malic acid which were positively correlated with sensory quality, and decreased the contents of citric acid, linoleic acid, basic amino acids and aromatic amino acids which were negatively correlated with sensory quality. 3) The addition of cocoa medium increased the total amount of aroma components in cigar leaves, especially carotenoid degradation products, and changed the structural composition of some aroma substances in wrappercigar leaves. 4) The similarity of species composition between the water-added group and the cocoa-added group was higher, but the dominant microorganisms were more concentrated. Staphylococcus and Arthrobacter maintained a high relative abundance throughout the fermentation process, which may be the key microorganisms in the agricultural fermentation stage. 5) The addition of cocoa medium increased the expression abundance of related functional genes in cigar leaves, accelerated the fermentation process of cigar leaves, and bacteria played a major role in the fermentation process.Conclusion: Adding cocoa medium in the agricultural fermentation stage, the changes of bacterial community and dominant flora on the surface of cigar leaves are the main factors affecting their internal chemical components, and the addition of media has a positive effect on tobacco fermentation.

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“…Acute diverticulitis can be further classified as uncomplicated and complicated. Pelvic abscess, intestinal perforation, bowel fistula, bowel obstruction, peritonitis, or sepsis are potential complications of acute diverticulitis [ 4 ]. Surgical intervention may be necessary for patients suffering from complicated acute diverticulitis.…”

Section: Discussionmentioning

confidence: 99%

“…The use of antibiotic medication for the treatment of uncomplicated acute diverticulitis is crucial [ 1 ]. The issue of administering antibiotic medication is controversial and selective administration is recommended among patients with uncomplicated acute diverticulitis [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Factors such as increasing age, low intake of dietary fiber, reduced physical activity, obesity, smoking, heavy alcohol consumption, and the use of specific medications increase the chance of developing acute diverticulitis [ 3 ]. In patients with abdominal pain, acute diverticulitis should be considered a common cause of the pain [ 4 ]. Acute diverticulitis can manifest in different ways, ranging from mild abdominal pain to more severe situations such as peritonitis [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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Right-Sided Diverticulitis: A Rare Cause of Right-Sided Abdominal Pain

Papatriantafyllou¹,

Dedopoulou²,

Soukouli³

et al. 2023

Cureus

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Acute diverticulitis is a particularly common medical entity, and its frequency increases with age. The most commonly affected part of the large intestine is the sigmoid colon, while right-sided diverticulitis is very rare. Here, we report the case of a 59-year-old man who presented to the emergency department due to acute right lower quadrant abdominal pain. The patient was diagnosed with a computed tomography scan of the abdomen with intravenous contrast with right-sided diverticulitis. The patient's treatment included hydration and intravenous antibiotics (ciprofloxacin and metronidazole). After three days of hospitalization, the patient was discharged from the hospital in stable condition and without signs of inflammation. This case report demonstrates the importance of including right-sided diverticulitis in the differential diagnosis of acute right lower quadrant abdominal pain, as in most cases patients are treated conservatively without the need for surgical intervention.

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The outcomes of right-sided and left-sided colonic diverticulitis following non-operative management: a systematic review and meta-analysis

Cited by 7 publications

References 56 publications

Right‐sided acute diverticulitis in a North African country: Presentation and management in one surgical center

Right‐sided acute diverticulitis in a North African country: Presentation and management in one surgical center

Effects of adding cocoa fermentation medium on cigar leaves in agricultural fermentation stage

Right-Sided Diverticulitis: A Rare Cause of Right-Sided Abdominal Pain

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