Image-guided conservative management of right colonicdiverticulitis
| Autor: | Kil Yeon Lee, Suk-Hwan Lee, Sung Il Choi, Sun Jin Park |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Diagnostic Imaging Male medicine.medical_specialty Brief Article Adolescent Conservative management Colon Diverticulitis Colonic Young Adult Recurrence Humans Medicine In patient Stage (cooking) Young adult Aged Retrospective Studies Aged 80 and over business.industry Gastroenterology Retrospective cohort study General Medicine Middle Aged Diverticulitis medicine.disease digestive system diseases Surgery Uncomplicated diverticulitis Treatment Outcome Female business Hinchey Classification |
| Zdroj: | World Journal of Gastroenterology. 15:5838 |
| ISSN: | 1007-9327 |
| Popis: | AIM: To study the clinical outcomes of medical therapy in patients with right colonic diverticulitis. METHODS: The records of 189 patients with right colonic diverticulitis which was finally diagnosed by computed tomography, ultrasonography, or operative findings were retrospectively reviewed. RESULTS: Of the 189 patients hospitalized for right colonic diverticulitis, the stages of diverticulitis by a modified Hinchey classification were 26 patients (13.8%) in stage 0, 139 patients (73.5%) in stage Ia, 23 patients (12.2%) in stage Ib, and 1 patient (0.5%) in stage III. Medical therapy was undertaken in 185 of 189 patients (97.9%). One hundred and eighty three of 185 patients were successfully treated with bowel rest and antibiotics. Two patients in stage Ib required a resection or surgical drainage because of an inadequate response to conservative treatment. Recurrent diverticulitis developed in 15 of 183 patients (8.2%) who responded to medical therapy. All 15 patients who suffered a second attack had uncomplicated diverticulitis, and were successfully treated with medical therapy. CONCLUSION: Our results indicate that right colonic diverticulitis is essentially benign and image-guided conservative treatment is primarily required. |
| Databáze: | OpenAIRE |
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