Distinguishing features between patients with acute diverticulitis and diverticular bleeding: Results from the REMAD registry

Autor: Sergio Segato, Mario Grassini, A. Maurano, Matteo Bosani, Antonio Colecchia, Martina Cargiolli, Giovanni Barbara, Antonio Maria Morselli Labate, Ennio Guido, Cesare Cremon, Giuseppe Biscaglia, Marilia Carabotti, Donato Iuliano, E. Galliani, Davide Festi, Bruno Annibale, Biagio Mauro, Alida Andrealli, S. Bargiggia, Carola Severi, R. Reati, Maria Antonia Bianco, Matteo Neri, Santino Marchi, Rosario Cuomo, Francesca Falangone, Agostino Di Ciaula, Franco Iafrate, Simona Bartolozzi, Paolo Andreozzi, Bastianello Germanà, Alessandro Moscatelli, Marco Pennazio, Andrea Laghi, Marco Astegiano, Riccardo Nascimbeni, S. Peralta, Maria Erminia Bottiglieri, Paolo Usai, Piero Portincasa, Carolina Ciacci, Paola Iovino, Pietro Occhipinti, Vincenzo Savarino, Fabio Pace, Alessandro Redaelli, Giovanni Latella, Franco Radaelli, V. Festa, Mirko Di Ruscio, Giuseppe Scaccianoce, Marco Rossi, Marco Dinelli, Francesco Bachetti, Valentina Valle, Angelo Andriulli, M. Parravicini, Marina De Matthaeis, Raffale Salerno, Clara Virgilio, Elisa Marabotto, Sandro Ardizzone, Gian Andrea Binda, Alessandra Dell'Era, Giampiero Manes, Gabrio Bassotti
Přispěvatelé: Carabotti M., Morselli Labate A.M., Cremon C., Cuomo R., Pace F., Andreozzi P., Falangone F., Barbara G., Annibale B.
Rok vydání: 2020
Předmět:
Zdroj: Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver. 53(2)
ISSN: 1878-3562
Popis: Background Pathogenesis of acute diverticulitis and diverticular bleeding remains poorly defined, and few data compare directly risk factors for these complications. Aims to assess differences in clinical features, lifestyles factors and concurrent drug use in patients with acute diverticulitis and those with diverticular bleeding. Methods Data were obtained from the REMAD Registry, an ongoing 5-year prospective, observational, multicenter, cohort study conducted on 1,217 patients. Patient- and clinical- related factors were compared among patients with uncomplicated diverticular disease, patients with previous acute diverticulitis, and patients with previous diverticular bleeding. Results Age was significantly lower (OR 0.48, 95% CI: 0.34–0.67) and family history of diverticular disease was significantly higher (OR 1.60, 95% CI: 1.11–2.31) in patients with previous diverticulitis than in patients with uncomplicated diverticular disease, respectively. Chronic obstructive pulmonary disease was significantly higher in patients with previous diverticular bleeding as compared with both uncomplicated diverticular disease (OR 8.37, 95% CI: 2.60–27.0) and diverticulitis (OR 4.23, 95% CI: 1.11–16.1). Conclusion This ancillary study from a nationwide Registry showed that some distinctive features identify patients with acute diverticulitis and diverticular bleeding. These information might improve the assessment of risk factors for diverticular complications.
Databáze: OpenAIRE