A novel endoscopic grading system for prediction of disease-related outcomes in patients with diverticulosis
| Autor: | James M. Church, Joseph Valentino, Meara Dean, Kaitlin A. Ritter |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Colonoscopy macromolecular substances Disease Diverticulum Colon Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Colon Sigmoid Risk Factors Humans Medicine Grading (education) Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Reproducibility of Results Sigmoid colon General Medicine Middle Aged Diverticulitis Prognosis medicine.disease Diverticulosis Endoscopy medicine.anatomical_structure 030220 oncology & carcinogenesis Diverticular disease Female 030211 gastroenterology & hepatology Surgery Radiology business |
| Zdroj: | The American Journal of Surgery. 216:926-931 |
| ISSN: | 0002-9610 |
| Popis: | We describe a simple endoscopic grading system of diverticular disease for the assessment of disease severity and prediction of outcomes.A retrospective analysis of prospectively maintained colonoscopy database was conducted. A single endoscopist prospectively graded disease severity according to the number and size of diverticula, the degree of muscular hypertrophy and rigidity of the sigmoid colon.762 patients were included in the analysis. Mean patient age was 70 years (range 37-97). Endoscopic severity of diverticulosis was predictive of the need for surgery, with 2% in the mild-moderate, 12% in the severe and 33% in the acute group (p 0001). Time to surgery showed correlation to severity grade, with mean periods of 107.5 months in the moderate group vs. 3 and 2.5 months in the severe and acute group (p 0001). The mean follow up was 11 years.Surgeons should consider using endoscopic grading as an adjunct to clinical management decisions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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