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Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study
PURPOSE: The goals of this study were to identify whether conservative treatment with antibiotics in right colonic diverticulitis (RCD) patients, our empirical method used until now, is adequate and to determine how the natural history of RCD is affected by conservative treatment. METHODS: This stud...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Coloproctology
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180599/ https://www.ncbi.nlm.nih.gov/pubmed/21980589 http://dx.doi.org/10.3393/jksc.2011.27.4.188 |
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author | Kim, Tae Jung Lee, In Kyu Park, Jong Kyung Lee, Yoon Suk Si, Youn Jung, Hun Kim, Hyung Jin Lee, Sang Chul Cheung, Dae Young Gorden, Lee D. Oh, Seung Taek |
author_facet | Kim, Tae Jung Lee, In Kyu Park, Jong Kyung Lee, Yoon Suk Si, Youn Jung, Hun Kim, Hyung Jin Lee, Sang Chul Cheung, Dae Young Gorden, Lee D. Oh, Seung Taek |
author_sort | Kim, Tae Jung |
collection | PubMed |
description | PURPOSE: The goals of this study were to identify whether conservative treatment with antibiotics in right colonic diverticulitis (RCD) patients, our empirical method used until now, is adequate and to determine how the natural history of RCD is affected by conservative treatment. METHODS: This study was designed as a case-control study. Group I was comprised of 12 patients who were managed conservatively, and clinical data were retrospectively collected. In group II, a total of 49 patients, diagnosed by using diagnostic criteria for RCD and managed conservatively, were prospectively included. RESULTS: The period of fasting was 2.7 days, and the hospital stay was 4.6 days in all patients. The intravenous and the oral antibiotic periods were 3.8 days and 9.8 days, respectively. There were no statistically significant differences in treatment results between the two groups except the duration of fasting and the hospitalization, and there were no complications under conservative treatment. Eight patients (13.1%) had recurrent diverticulitis during the follow-up period. The recurrence risk showed no significant difference between the groups. The RCD-free period after management was 60.1 months, and patients with recurrent RCD were treated by conservative treatment or laparoscopic surgery. CONCLUSION: Conservative treatment with antibiotics is the optimal treatment of choice for RCD and shows no increase in complications. |
format | Online Article Text |
id | pubmed-3180599 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | The Korean Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-31805992011-10-06 Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study Kim, Tae Jung Lee, In Kyu Park, Jong Kyung Lee, Yoon Suk Si, Youn Jung, Hun Kim, Hyung Jin Lee, Sang Chul Cheung, Dae Young Gorden, Lee D. Oh, Seung Taek J Korean Soc Coloproctol Original Article PURPOSE: The goals of this study were to identify whether conservative treatment with antibiotics in right colonic diverticulitis (RCD) patients, our empirical method used until now, is adequate and to determine how the natural history of RCD is affected by conservative treatment. METHODS: This study was designed as a case-control study. Group I was comprised of 12 patients who were managed conservatively, and clinical data were retrospectively collected. In group II, a total of 49 patients, diagnosed by using diagnostic criteria for RCD and managed conservatively, were prospectively included. RESULTS: The period of fasting was 2.7 days, and the hospital stay was 4.6 days in all patients. The intravenous and the oral antibiotic periods were 3.8 days and 9.8 days, respectively. There were no statistically significant differences in treatment results between the two groups except the duration of fasting and the hospitalization, and there were no complications under conservative treatment. Eight patients (13.1%) had recurrent diverticulitis during the follow-up period. The recurrence risk showed no significant difference between the groups. The RCD-free period after management was 60.1 months, and patients with recurrent RCD were treated by conservative treatment or laparoscopic surgery. CONCLUSION: Conservative treatment with antibiotics is the optimal treatment of choice for RCD and shows no increase in complications. The Korean Society of Coloproctology 2011-08 2011-08-31 /pmc/articles/PMC3180599/ /pubmed/21980589 http://dx.doi.org/10.3393/jksc.2011.27.4.188 Text en © 2011 The Korean Society of Coloproctology http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Tae Jung Lee, In Kyu Park, Jong Kyung Lee, Yoon Suk Si, Youn Jung, Hun Kim, Hyung Jin Lee, Sang Chul Cheung, Dae Young Gorden, Lee D. Oh, Seung Taek Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study |
title | Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study |
title_full | Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study |
title_fullStr | Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study |
title_full_unstemmed | Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study |
title_short | Is Conservative Treatment with Antibiotics the Correct Strategy for Management of Right Colonic Diverticulitis?: A Prospective Study |
title_sort | is conservative treatment with antibiotics the correct strategy for management of right colonic diverticulitis?: a prospective study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180599/ https://www.ncbi.nlm.nih.gov/pubmed/21980589 http://dx.doi.org/10.3393/jksc.2011.27.4.188 |
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