ArticleAnnals of coloproctology2017
Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis.
Article in Annals of coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- 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
- Diagnosis and management of acute colonic diverticulitis: results of a survey among Korean gastroenterologists.The Korean journal of internal medicine · 2023Article
- Platelet to lymphocyte ratio is a risk factor for failure of non-operative treatment of colonic diverticulitis.Scientific reports · 2023Article
- Management and long-term outcomes of acute right colonic diverticulitis and risk factors of recurrence.BMC surgery · 2022Article
- Predictive factors for conservative treatment failure of right colonic diverticulitis.Annals of surgical treatment and research · 2021Article
- Laparoscopic diverticulectomy versus non-operative treatment for uncomplicated right colonic diverticulitis.Surgical endoscopy · 2020Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeColonic diverticulitis is uncommon in Korea, but the incidence is rapidly increasing nowadays. The clinical features and the factors associated with complications of diverticulitis are important for properly treating the disease.
methodsA retrospective review of the medical records of 225 patients that were prospectively collected between October 2007 and September 2016 was conducted.
resultsDiverticulitis was detected mainly in men and women aged 30 to 50 years. Diverticulitis more frequently affected the right colon (n = 194, 86.2%), but age was higher in case of left colonic involvement (42 years vs. 57 years, P < 0.001). Percentages of comorbidities (65.6% vs. 23.8%, P < 0.001), complications (65.6% vs. 6.2%, P < 0.001), and surgical treatment (50.0% vs. 4.1%, P < 0.001) were significantly higher in patients with left colonic diverticulitis. In the multivariate analysis, a risk factor for complicated diverticulitis was left colonic involvement (P < 0.001; relative risk [RR], 47.108; 95% confidence interval [CI], 12.651-175.413). In complicated diverticulitis, age over 50 was the only significant risk factor for surgical treatment (P = 0.024; RR, 19.350; 95% CI, 1.474-254.023).
conclusionIn patients over 50 years of age with left colonic diverticulitis, a preventive colectomy should be reconsidered as one of the options for treatment.
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