The Effects of Diverticulum Localization and Hinchey Classification on Recurrence and Complications in Acute Colonic Diverticulitis

Özet

Objectives: Diverticular disease of the colon is a pathology that arises from outward ballooning of the mucosa due to some weaknessin the muscle layer. Diverticular disease may range from symptomatic uncomplicated diverticular disease to symptomatic diseasewith complications, such as acute diverticulitis or diverticular bleeding. Acute colonic diverticulitis occurs in about 10- 25% of patients.Methods: In this study, 134 patients who were admitted to our emergency clinic with complaints of abdominal pain between2016-2019 and hospitalized with the diagnosis of acute diverticulitis were included. Patients' sex, age, presence of additional disease, increase in leukocyte and C-reactive protein (CRP), localization of diverticulitis, Hinchey classification, mean length of hospitalstay and treatment were evaluated. The effects of these parameters on complications and recurrence were statistically analyzed.Results: The length of hospital stay was statistically significantly associated positively with the Hinchey classification (p<0.001).While 18 patients who were medically treated developed recurrence later, and this rate was statistically significant (p<0.001). Whenone of the factors, localization, which may play a role in the severity of the disease and recurrence are examined, was evaluatedconcerning its results in our study, we found that rectosigmoid location is an important factor for recurrence. We found that thelocalization in the colon and the severity of the disease were effective in the prognosis of acute diverticulitis.Conclusion: We believe that localization and the severity of the disease should be taken into consideration when planning surgeryin these patients.