ArticleSurgical endoscopy2015
Yield of colonoscopy after recent CT-proven uncomplicated acute diverticulitis: a comparative cohort study.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Systematic review and meta-analysis on key controversies in the management of diverticular disease: a multi-society collaboration.Surgical endoscopy · 2026Pooled it
- Smoking and alcohol consumption as risk factors for colonic diverticulosis and its complications: Systematic review and meta-analysis.Medicine · 2026Pooled it
- Meta-analysis of the role of colonoscopy after an episode of left-sided acute diverticulitis.The British journal of surgery · 2019Pooled it
- Evidence-based clinical practice guidelines for diagnosis and medical management of acute colonic diverticulitis developed by the Korean Association for the Study of Intestinal Diseases (KASID).Intestinal research · 2026Review
- Colonoscopy After Acute Diverticulitis: Low Yield in Uncomplicated Disease, Higher Risk in Complicated Cases.Cureus · 2026Article
- 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
- Outpatient Management Protocol for Uncomplicated Diverticulitis: A 3-Year Monocentric Experience in a Tertiary Hospital.Journal of clinical medicine · 2024Article
- Follow-Up Colonoscopy for Detection of Missed Colorectal Cancer After Diverticulitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024Article
- Interval colonoscopy following acute diverticulitis should not be discouraged yet: results from a retrospective cohort.Surgical endoscopy · 2021Article
- Evaluation and Medical Management of Uncomplicated Diverticulitis.Clinics in colon and rectal surgery · 2021Review
- Computed tomography diagnosed first time diverticulitis and colorectal cancer.International journal of colorectal disease · 2020Article
- Prevalence of colorectal cancer and advanced adenoma in patients with acute diverticulitis: implications for follow-up colonoscopy.Gastrointestinal endoscopy · 2020Article
- Follow up colonoscopy may be omissible in uncomplicated left-sided acute diverticulitis diagnosed with CT- a retrospective cohort study.Scientific reports · 2019Article
- Diverticular Disease in the Elderly.Current gastroenterology reports · 2019Review
- 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
- Diverticular Disease: An Update on Pathogenesis and Management.Gut and liver · 2018Review
- Patients with computed tomography-proven acute diverticulitis require follow-up to exclude colorectal cancer.Intestinal research · 2017Article
- Article
- Efficacy of colonoscopy after an episode of acute diverticulitis and risk of colorectal cancer.Annals of gastroenterologyArticle
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent guidelines recommend routine follow-up colonoscopy after acute diverticulitis to confirm the diagnosis and exclude malignancy. Its value, however, has recently been questioned because of contradictory study results. Our objective was to compare the colonoscopic detection rate of advanced colonic neoplasia (ACN), comprising colorectal cancer (CRC) and advanced adenoma (AA), in patients after a CT-proven primary episode of uncomplicated acute diverticulitis with average risk participants in a primary colonoscopy CRC screening program.
methodsA retrospective comparison was performed of prospectively collected data from cohorts derived from two multicenter randomized clinical trials executed in the Netherlands between 2009 and 2013. 401 uncomplicated diverticulitis patients and 1,426 CRC screening participants underwent colonic evaluation by colonoscopy. Main outcome was the diagnostic yield for ACN, calculated as number of diverticulitis patients and screening participants with ACN relative to their totals, with differences expressed as odds ratios (OR). The histopathology outcome of removed lesions during colonoscopy was used as definitive diagnosis.
resultsAA detection was similar [5.5 vs. 8.7%; OR 0.62 (95% CI 0.38-1.01); P = 0.053]. CRC was detected in 1.2% (5/401) of diverticulitis patients versus 0.6% (9/1,426) of screening participants [OR 1.30 (95% CI 0.39-4.36); P = 0.673]. ACN was diagnosed in 6.7% (27/401) of diverticulitis patients versus 9.1% (130/1,426) of screening participants [OR 0.71 (95% CI 0.45-1.11); P = 0.134]. ORs were adjusted for age, family history of CRC, smoking, BMI, and cecal intubation rate.
conclusionsACN detection does not differ significantly between patients with recent uncomplicated diverticulitis and average risk screening participants. Routine follow-up colonoscopy after primary CT-proven uncomplicated left-sided acute diverticulitis can be omitted; these patients can participate in CRC screening programs. Follow-up colonoscopy may be beneficial when targeted at high-risk patients, but such an approach first needs prospective evaluation.
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