Tags

Type your tag names separated by a space and hit enter

A clinical and radiological comparison of sigmoid diverticulitis episodes 1 and 2.
Colorectal Dis. 2012 Apr; 14(4):463-8.CD

Abstract

AIM

After an initial uncomplicated attack, sigmoid diverticulitis may recur, but the morphological characteristics of recurrent diverticulitis have not been investigated. We compared the clinical and radiological severity, the respective location and clinical outcome of the first two episodes of sigmoid diverticulitis.

METHOD

We reviewed the charts of 60 patients [median age 61 (range 31-90) years] who were admitted initially for a first episode of uncomplicated left colonic diverticulitis, and who were eventually readmitted for a second episode, both being documented by abdominal computed tomography (CT) scan.

RESULTS

The median delay between the two episodes was 19 (3-97) months. Six (10%) patients developed a second complicated episode of diverticulitis [Hinchey II (n = 2), CT-guided percutaneous drainage; Hinchey III (n = 3), emergency Hartmann's operation; colovesical fistula (n = 1), elective sigmoid resection]. Fifty-four (90%) patients were admitted for a second episode of uncomplicated diverticulitis. In this group, the duration of hospital stay [11 (4-22) vs 10 (1-39) days, P = 0.28], serum levels of C-reactive protein [131 (31-350) vs 112 (22-333) mm, P = 0.62] and CT scan-based severity score [3 (1-6) vs 3 (0-7) points, P = 0.07] were similar between the two episodes. In 19 out of 54 (35%) patients with simple recurrent diverticulitis, although disease severity was similar, the disease topography differed and recurrence involved another segment of the left colon.

CONCLUSION

The majority of patients who develop recurrence do so in a similar mode and location. However, 10% develop complicated diverticulitis and in 35% of patients recurrent diverticulitis occurs at a different location.

Authors+Show Affiliations

Department of Surgery Radiology, Geneva University Hospital and Medical School, Genève, Switzerland. pascal.gervaz@hcuge.chNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

21689325

Citation

Gervaz, P, et al. "A Clinical and Radiological Comparison of Sigmoid Diverticulitis Episodes 1 and 2." Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland, vol. 14, no. 4, 2012, pp. 463-8.
Gervaz P, Platon A, Widmer L, et al. A clinical and radiological comparison of sigmoid diverticulitis episodes 1 and 2. Colorectal Dis. 2012;14(4):463-8.
Gervaz, P., Platon, A., Widmer, L., Ambrosetti, P., & Poletti, P. A. (2012). A clinical and radiological comparison of sigmoid diverticulitis episodes 1 and 2. Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland, 14(4), 463-8. https://doi.org/10.1111/j.1463-1318.2011.02642.x
Gervaz P, et al. A Clinical and Radiological Comparison of Sigmoid Diverticulitis Episodes 1 and 2. Colorectal Dis. 2012;14(4):463-8. PubMed PMID: 21689325.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A clinical and radiological comparison of sigmoid diverticulitis episodes 1 and 2. AU - Gervaz,P, AU - Platon,A, AU - Widmer,L, AU - Ambrosetti,P, AU - Poletti,P-A, PY - 2011/6/22/entrez PY - 2011/6/22/pubmed PY - 2012/8/9/medline SP - 463 EP - 8 JF - Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland JO - Colorectal Dis VL - 14 IS - 4 N2 - AIM: After an initial uncomplicated attack, sigmoid diverticulitis may recur, but the morphological characteristics of recurrent diverticulitis have not been investigated. We compared the clinical and radiological severity, the respective location and clinical outcome of the first two episodes of sigmoid diverticulitis. METHOD: We reviewed the charts of 60 patients [median age 61 (range 31-90) years] who were admitted initially for a first episode of uncomplicated left colonic diverticulitis, and who were eventually readmitted for a second episode, both being documented by abdominal computed tomography (CT) scan. RESULTS: The median delay between the two episodes was 19 (3-97) months. Six (10%) patients developed a second complicated episode of diverticulitis [Hinchey II (n = 2), CT-guided percutaneous drainage; Hinchey III (n = 3), emergency Hartmann's operation; colovesical fistula (n = 1), elective sigmoid resection]. Fifty-four (90%) patients were admitted for a second episode of uncomplicated diverticulitis. In this group, the duration of hospital stay [11 (4-22) vs 10 (1-39) days, P = 0.28], serum levels of C-reactive protein [131 (31-350) vs 112 (22-333) mm, P = 0.62] and CT scan-based severity score [3 (1-6) vs 3 (0-7) points, P = 0.07] were similar between the two episodes. In 19 out of 54 (35%) patients with simple recurrent diverticulitis, although disease severity was similar, the disease topography differed and recurrence involved another segment of the left colon. CONCLUSION: The majority of patients who develop recurrence do so in a similar mode and location. However, 10% develop complicated diverticulitis and in 35% of patients recurrent diverticulitis occurs at a different location. SN - 1463-1318 UR - https://www.unboundmedicine.com/medline/citation/21689325/A_clinical_and_radiological_comparison_of_sigmoid_diverticulitis_episodes_1_and_2_ L2 - https://doi.org/10.1111/j.1463-1318.2011.02642.x DB - PRIME DP - Unbound Medicine ER -