SynthesisSurgical endoscopy2014
Routine colonoscopy is not required in uncomplicated diverticulitis: a systematic review.
Synthesis in Surgical endoscopy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Diverticulitis does not increase the long-term risk of developing colon cancer: a systematic review and meta-analysis.International journal of colorectal disease · 2022Pooled it
- 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting.World journal of emergency surgery : WJES · 2020Guideline
- Meta-analysis of the role of colonoscopy after an episode of left-sided acute diverticulitis.The British journal of surgery · 2019Pooled it
- Utility of Colonoscopy After Acute Colonic Diverticulitis.Diagnostics (Basel, Switzerland) · 2026Review
- Analysis of the outcomes of postdiverticulitis investigations: a multicentre cohort study including 1,120 patients.Annals of the Royal College of Surgeons of England · 2025Article
- A multicentre study assessing the role of routine colonoscopy after acute uncomplicated diverticulitis and the incidence of colorectal cancer diagnosis.International journal of colorectal disease · 2023Article
- Yield of Post-Acute Diverticulitis Colonoscopy for Ruling Out Colorectal Cancer.Techniques and innovations in gastrointestinal endoscopy · 2022Article
- Routine Endoscopy After Acute Sigmoid Diverticulitis: Would a Sigmoidoscopy be Sufficient?Cureus · 2021Article
- Gut wrenching: cases of missed gastrointestinal tumors and their mimics on computed tomography.Emergency radiology · 2021Review
- Update on the management of sigmoid diverticulitis.World journal of gastroenterology · 2021Review
- Routine colonoscopy may be needed for uncomplicated acute right colonic diverticulitis.BMC gastroenterology · 2021Article
- Is there need for routine CT colonography after CT-verified uncomplicated diverticulitis of the sigmoid colon?European journal of radiology open · 2021Article
- Article
- Computed tomography diagnosed first time diverticulitis and colorectal cancer.International journal of colorectal disease · 2020Article
- Diverticulitis: An Update From the Age Old Paradigm.Current problems in surgery · 2020Review
- Prevalence of colorectal cancer and advanced adenoma in patients with acute diverticulitis: implications for follow-up colonoscopy.Gastrointestinal endoscopy · 2020Article
- Should a colonoscopy be offered routinely to patients with CT proven acute diverticulitis? A retrospective cohort study and meta-analysis of best available evidence.World journal of gastrointestinal endoscopy · 2019Article
- Colonoscopy-induced acute diverticulitis: myth or reality?Surgical endoscopy · 2018Article
- High Probability of an Underlying Colorectal Cancer Among Patients Treated for Acute Diverticulitis. A Population-Based Cohort Follow-Up Study.World journal of surgery · 2016Article
- WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting.World journal of emergency surgery : WJES · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is generally accepted that patients following an episode of diverticulitis should have additional colonoscopy screening to rule out a colorectal malignancy. We aimed to investigate the rate of CRC found by colonoscopy after an attack of uncomplicated diverticulitis.
methodsMEDLINE, Embase, and Cochrane databases were searched systematically for clinical trials or observational studies on colonic evaluation by colonoscopy after the initial diagnosis of acute uncomplicated diverticulitis, followed by hand-searching of reference lists.
resultsNine studies met the inclusion criteria and included a total number of 2,490 patients with uncomplicated diverticulitis. Subsequent colonoscopy after an episode of uncomplicated diverticulitis was performed in 1,468 patients (59%). Seventeen patients were diagnosed with CRC, having a prevalence of 1.16% (95% confidence interval 0.72-1.9% for CRC). Hyperplastic polyps were seen in 156 patients (10.6%), low-grade adenoma in 90 patients (6.1%), and advanced adenoma was reported in 32 patients (2.2%).
conclusionUnless colonoscopy is regarded for screening in individuals aged 50 years and older, routine colonoscopy in the absence of other clinical signs of CRC is not required.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.