SynthesisThe British journal of surgery2019
Meta-analysis of the role of colonoscopy after an episode of left-sided acute diverticulitis.
Synthesis in The British journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- German guideline diverticular disease/diverticulitis: Part I: Methods, pathogenesis, epidemiology, clinical characteristics (definitions), natural course, diagnosis and classification.United European gastroenterology journal · 2022Guideline
- 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
- Antibiotics for uncomplicated diverticulitis.The Cochrane database of systematic reviews · 2022Pooled it
- Trial
- Laparoscopic peritoneal lavage versus sigmoidectomy for perforated diverticulitis with purulent peritonitis: three-year follow-up of the randomised LOLA trial.Surgical endoscopy · 2022Trial
- 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
- Utility of Colonoscopy After Acute Colonic Diverticulitis.Diagnostics (Basel, Switzerland) · 2026Review
- Colorectal Cancer Arising in a Diverticulum: Report of an Unusual Presentation.Case reports in gastrointestinal medicine · 2026Article
- Surveillance and follow-up in acute diverticulitis with pericolic free gas (ADiFas II): an age-specific analysis.Updates in surgery · 2025Article
- 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
- Diverticulitis in Older Adults: A Review of Etiology, Diagnosis, and Management.Journal of the American Geriatrics Society · 2025Review
- DIVERT-Ca: unveiling the hidden link between acute diverticulitis and colorectal cancer risk-multicentre retrospective study.International journal of colorectal disease · 2025Article
- Antibiotics for acute diverticulitis.Canadian family physician Medecin de famille canadien · 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
- Contemporary management of diverticulitis.Surgery open science · 2024Article
- Article
- Characteristics, treatment, and outcome of diverticulitis after immune checkpoint inhibitor treatment in patients with malignancies.Journal of cancer research and clinical oncology · 2023Article
- 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
- When to Perform a Colonoscopy in Diverticular Disease and Why: A Personalized Approach.Journal of personalized medicine · 2022Review
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Authors and funding
12 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoutine colonoscopy was traditionally recommended after acute diverticulitis to exclude coexistent malignancy. Improved CT imaging may make routine colonoscopy less required over time but most guidelines still recommend it. The aim of this review was to assess the role of colonoscopy in patients with CT-proven acute diverticulitis.
methodsPubMed and Embase were searched for studies reporting the prevalence of advanced colorectal neoplasia (ACN) or colorectal carcinoma in patients who underwent colonoscopy within 1 year after CT-proven left-sided acute diverticulitis. The prevalence was pooled using a random-effects model and, if possible, compared with that among asymptomatic controls.
resultsSeventeen studies with 3296 patients were included. The pooled prevalence of ACN was 6·9 (95 per cent c.i. 5·0 to 9·4) per cent and that of colorectal carcinoma was 2·1 (1·5 to 3·1) per cent. Only two studies reported a comparison with asymptomatic controls, showing comparable risks (risk ratio 1·80, 95 per cent c.i. 0·66 to 4·96). In subgroup analysis of patients with uncomplicated acute diverticulitis, the prevalence of colorectal carcinoma was only 0·5 (0·2 to 1·2) per cent.
conclusionRoutine colonoscopy may be omitted in patients with uncomplicated diverticulitis if CT imaging is otherwise clear. Patients with complicated disease or ongoing symptoms should undergo colonoscopy.
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