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Journals / Türk Kolon ve Rektum Hastalıkları Dergisi / 2021 / Cilt: 31 - Sayı: 1

How Can We Manage the Therapeutic Approach of Acute Diverticulitis Regarding the Number of Attacks?

Akut Divertikülit Tedavisi; Atak Sayısına Göre Yaklaşım Nasıl Olmalıdır?

Ahmet AKBAŞ
Yüksel ALTINEL
Nadir Adnan HACIM
Merve TOKOÇİN
Serhat MERİÇ
Pages
49–55
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Elective colonoscopy of AD was mostly localized in the left colon (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The risk of acute diverticulitis (AD) increases with each attack and the decision of therapeutic management is getting more complicated.
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Key Findings & Data:Method: Two hundred thirty six patients with AD defined by computerized tomography were retrospectively analyzed according to the number of attacks (1, 2, and ≥3).
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Conclusion & Impact:Elective colonoscopy of AD was mostly localized in the left colon (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The risk of acute diverticulitis (AD) increases with each attack and the decision of therapeutic management is getting more complicated. We aimed to investigate the effective features of the number of attacks. Method: Two hundred thirty six patients with AD defined by computerized tomography were retrospectively analyzed according to the number of attacks (1, 2, and ≥3). Results: 45.8% patients were female. The mean age was 58.3±12.7 years old, mean body mass index was 28.8±6.5 kg/m2 . Elective colonoscopy of AD was mostly localized in the left colon (p

Özet

Amaç: Akut divertikülit (AD) riski her atakta artmakta ve tedavi yönteminin kararı daha karmaşık hale gelebilmektedir. Çalışmamızda atak sayısını etkileyen faktörleri araştırmayı amaçladık. Yöntem: Bilgisayarlı tomografi ile tanımlanmış 236 AD hastası retrospektif olarak atak sayısına (1, 2 ve ≥3) göre değerlendirildi. Bulgular: Hastaların %45,8’i kadındı. Ortalama yaş 58,3±12,7, ortalama vücut kitle indeksi 28,8±6,5 kg/m2idi. Yapılan elektif kolonoskopilerde hastalık, çoğunlukla solda (sol kolon %60,2 ile sağ kolon %10,6) solda lokalize idi. Hastaların büyük bir kısmına, atak sayısından bağımsız olarak konservatif tedavi (%81,4) verildi. Hastalara ilk ataklarında %83,6 oranında konservatif tedavi ve %10,5 oranında radyolojik apse drenajı uygulandı (p=0,012). Üç ve daha fazla atak geçirenlerde sıklıkla açık cerrahi ile apse drenajı yapıldı (%12,2). İki atak geçiren hastalarda ise segmental kolon rezeksiyonu sayısı (%7,5) daha yüksek oranda izlendi (p=0,012). Hinchey sınıflamasına göre evre, AD tedavisinde invaziv yöntemlerin kullanılmasında anlamlı derecede etkilidir [odds ratio (OR): 0,052; %95 güven aralığı (GA): 0,022-0,126; p

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Cite This Article

AKBAŞ, A., ALTINEL, Y., HACIM, N. A., TOKOÇİN, M., MERİÇ, S. (2022). How Can We Manage the Therapeutic Approach of Acute Diverticulitis Regarding the Number of Attacks?. Türk Kolon ve Rektum Hastalıkları Dergisi, Cilt: 31 - Sayı: 1, 49–55. https://ajindex.com/articles/634491

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References (13)

  1. Stollman N, Raskin JB. Diverticular disease of the colon. Lancet 2004;363:631-639
  2. Ambrosetti P, Jenny A, Becker C, Terrier TF, Morel P. Acute left colonic diverticulitis–compared performance of computed tomography and watersoluble contrast enema: prospective evaluation of 420 patients. Dis Colon Rectum 2000;43:1363-1367
  3. Neale JA. Surgical management of diverticular disease in the elective setting. Clin Colon Rectal Surg 2018;31:236-242
  4. Altinel Y, Cavallaro PM, Ricciardi R, Rubin MS, Bleday R, Ahmed F, Bordeianou L. Can we predict surgically complex diverticulitis in elective cases? Dis Colon Rectum 2020;63:646-654
  5. Yoo PS, Garg R, Salamone LF, Floch MH, Rosenthal R, Longo WE. Medical comorbidities predict the need for colectomy for complicated and recurrent diverticulitis. Am J Surg 2008;196:710-714
  6. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg 1978;12:85-109
  7. Wasvary H, Turfah F, Kadro O, Beauregard W. Same hospitalization resection for acute diverticulitis. Am Surg 1999;65:632-635
  8. Al Harakeh H, Paily A, J, Doughan S, Shaikh I. Recurrent acute diverticulitis: when to operate? Inflamm Intest Dis 2018;3:91-99
  9. El-Sayed C, Radley S, Mytton J, Evison F, Ward ST. Risk of recurrent disease and surgery following an admission for acute diverticulitis. Dis Colon Rectum 2018;61:382-389. 10. van de Wall BJ, Stam MA, Draaisma WA, Stellato R, Bemelman WA, Boermeester MA, Broeders IAMJ, Belgers EJ, Toorenvliet BR, Prins HA, Consten ECJ; DIRECT trial collaborators. Surgery versus conservative management for recurrent and ongoing left-sided diverticulitis (DIRECT trial): an open-label, multicentre, randomised controlled trial. Lancet Gastroenterol Hepatol 2017;2:13-22
  10. Rafferty J, Shellito P, Hyman NH, Buie WD. Standards Committee of American Society of Colon and Rectal Surgeons. Practice parameters for sigmoid diverticulitis. Dis Colon Rectum 2006;49:939-944
  11. Emiroglu M, Uğurlu L, Karaali C, Kaya T, Özgüzer A, Aydın C. The diagnosis and treatment approach in acute colon diverticulutis. Tepecik Eğit ve Araşt Hast Derg 2015;25:106-112
  12. Kul F, Berhuni S, Ozturk E, Yilmazlar T. Colonic Diverticular Disease. Kolon Rektum Hast Derg 2010;20:19-23
  13. Yardimci AH, Bektas CT, Pasaoglu E, Kinaci E, Ozer C, Sevinc MM, Mahmutoglu AS, Kilickesmez O. Retrospective study of 24 cases of acute appendiceal diverticulitis: CT findings and pathological correlations. Jpn J Radiol 2017