Dergiler / Ulusal Travma ve Acil Cerrahi Dergisi / 2017 / Cilt: 23 - Sayı: 1

Is surgery necessary to confirm diagnosis of right-sided diverticulitis in spite of relevant clinical and radiological findings?

Sayfa
61–65
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

There was no recurrence during mean follow-up period of 8.2±5.6 months.CONCLUSION: If uncomplicated diverticulitis of the right colon is correctly diagnosed with radiological evaluation, antibiotic therapy and bowel rest should be considered as treatment modality, as there was no recurrence observed in short-term follow-up period and this option presents advantage of avoiding surgical intervention.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:BACKGROUND: Diverticulosis of the right colon is an uncommon entity.
📊
Temel Bulgular & Veri:Aim of the present study was to report outcome in patients with right-sided diverticulitis diagnosed using computed tomography (CT) and treated conservatively.METHODS: Twelve patients with clinical and radiological diagnosis of cecal or right-sided diverticulitis who were treated conservatively between February 2013 and December 2014 were included.
💡
Sonuç & Katkı:There was no recurrence during mean follow-up period of 8.2±5.6 months.CONCLUSION: If uncomplicated diverticulitis of the right colon is correctly diagnosed with radiological evaluation, antibiotic therapy and bowel rest should be considered as treatment modality, as there was no recurrence observed in short-term follow-up period and this option presents advantage of avoiding surgical intervention.
🔬Tür:Araştırma Makalesi
📍Kapsam:2013 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

BACKGROUND: Diverticulosis of the right colon is an uncommon entity. Aim of the present study was to report outcome in patients with right-sided diverticulitis diagnosed using computed tomography (CT) and treated conservatively.METHODS: Twelve patients with clinical and radiological diagnosis of cecal or right-sided diverticulitis who were treated conservatively between February 2013 and December 2014 were included. Demographic and clinical data were retrospectively analyzed.RESULTS: Female to male ratio was 1:1 with mean age of 45.08±14.4 years. Mean length of symptom history before admission was 2.08±1.3 days. Most common presenting symptom was right lower abdominal pain, seen in 72.7% of the patients. Abdominal ultrasound alone was performed for 10 patients, and 2 also had abdominal CT. Mean duration of hospitalization was 2.8±1.5 days. All patients were successfully treated with medical therapy. There was no recurrence during mean follow-up period of 8.2±5.6 months.CONCLUSION: If uncomplicated diverticulitis of the right colon is correctly diagnosed with radiological evaluation, antibiotic therapy and bowel rest should be considered as treatment modality, as there was no recurrence observed in short-term follow-up period and this option presents advantage of avoiding surgical intervention.

🔖

Bu Makaleye Atıf Yap

YARDIMCI, E., HASBAHÇECİ, M., İDİZ, U. O., ATAY, M., AKBULUT, H. (2017). Is surgery necessary to confirm diagnosis of right-sided diverticulitis in spite of relevant clinical and radiological findings?. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 23 - Sayı: 1, 61–65. https://ajindex.com/articles/324810

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (15)

  1. Sardi A, Gokli A, Singer JA. Diverticular disease of the cecum and ascending colon. A review of 881 cases. Am Surg 1987;53:41-5
  2. Jacobs DO. Clinical practice. Diverticulitis. N Engl J Med 2007;357:2057-66
  3. Paramythiotis D, Papadopoulos VN, Michalopoulos A, Panagiotou D, Panidis S, Digkas E, et al. Inflammation of solitary caecal diverticula:a rare aetiology of acute abdominal pain [corrected]. Tech Coloproctol 2011;15 Suppl 1:43-5
  4. Mörschel M, Becker H. Diagnosis and therapy of cecal diverticulitis. [Article in German] Zentralbl Chir 1993;118:81-3. [Abstract] 5. Lehnert T, Kleikamp G. Diagnosis and therapy of inflammatory cecal diverticula. [Article in German] Zentralbl Chir 1989;114:1337-40. [Abstract] 6. Park HC, Chang MY, Lee BH. Nonoperative management of right colonic diverticulitis using radiologic evaluation. Colorectal Dis 2010;12:105- 8
  5. Lo CY, Chu KW. Acute diverticulitis of the right colon. Am J Surg 1996;171:244-6 8. Hildebrand P, Kropp M, Stellmacher F, Roblick UJ, Bruch HP, Schwandner O. Surgery for right-sided colonic diverticulitis: results of a 10-yearobservation period. Langenbecks Arch Surg 2007;392:143-7
  6. Issa N, Paran H, Yasin M, Neufeld D. Conservative treatment of rightsided colonic diverticulitis. Eur J Gastroenterol Hepatol 2012;24:1254- 8
  7. Papapolychroniadis C, Kaimakis D, Fotiadis P, Karamanlis E, Stefopoulou M, Kouskouras K, et al. Perforated diverticulum of the caecum. A difficult preoperative diagnosis. Report of 2 cases and review of the literature. Tech Coloproctol 2004;8 Suppl 1:116-8
  8. Kang WM, Lee CH, Chou YH, Lin HJ, Lo HC, Hu SC, et al. A clinical evaluation of ultrasonography in the diagnosis of acute appendicitis. Surgery 1989;105:154-9
  9. Chou YH, Chiou HJ, Tiu CM, Chen JD, Hsu CC, Lee CH, et al. Sonography of acute right side colonic diverticulitis. Am J Surg 2001;181:122-7
  10. Hsu CC, Chou YH, Lai BH. Sonographic appearances of right-sided colonic diverticulitis. Journal of Medical Ultrasound 1996;4:180-3
  11. Komuta K, Yamanaka S, Okada K, Kamohara Y, Ueda T, Makimoto N, et al. Toward therapeutic guidelines for patients with acute right colonic diverticulitis. Am J Surg 2004;187:233-7
  12. Puylaert JB. Ultrasound of colon diverticulitis. Dig Dis 2012;30:56-9
  13. Jacobs DO. Clinical practice. Diverticulitis. N Engl J Med 2007;357:2057-66
  14. Rao PM. CT of diverticulitis and alternative conditions. Semin Ultrasound CT MR 1999;20:86-93
  15. Scatarige JC, Fishman EK, Crist DW, Cameron JL,