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Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis
PURPOSE: Colonic 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. METHODS: A retrospective review of the medical records of 225...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Coloproctology
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683968/ https://www.ncbi.nlm.nih.gov/pubmed/29159165 http://dx.doi.org/10.3393/ac.2017.33.5.178 |
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author | Paik, Pill Sun Yun, Jung-A |
author_facet | Paik, Pill Sun Yun, Jung-A |
author_sort | Paik, Pill Sun |
collection | PubMed |
description | PURPOSE: Colonic 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. METHODS: A retrospective review of the medical records of 225 patients that were prospectively collected between October 2007 and September 2016 was conducted. RESULTS: Diverticulitis 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). CONCLUSION: In patients over 50 years of age with left colonic diverticulitis, a preventive colectomy should be reconsidered as one of the options for treatment. |
format | Online Article Text |
id | pubmed-5683968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Korean Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-56839682017-11-20 Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis Paik, Pill Sun Yun, Jung-A Ann Coloproctol Original Article PURPOSE: Colonic 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. METHODS: A retrospective review of the medical records of 225 patients that were prospectively collected between October 2007 and September 2016 was conducted. RESULTS: Diverticulitis 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). CONCLUSION: In patients over 50 years of age with left colonic diverticulitis, a preventive colectomy should be reconsidered as one of the options for treatment. The Korean Society of Coloproctology 2017-10 2017-10-31 /pmc/articles/PMC5683968/ /pubmed/29159165 http://dx.doi.org/10.3393/ac.2017.33.5.178 Text en © 2017 The Korean Society of Coloproctology http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Paik, Pill Sun Yun, Jung-A Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis |
title | Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis |
title_full | Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis |
title_fullStr | Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis |
title_full_unstemmed | Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis |
title_short | Clinical Features and Factors Associated With Surgical Treatment in Patients With Complicated Colonic Diverticulitis |
title_sort | clinical features and factors associated with surgical treatment in patients with complicated colonic diverticulitis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683968/ https://www.ncbi.nlm.nih.gov/pubmed/29159165 http://dx.doi.org/10.3393/ac.2017.33.5.178 |
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