Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina
Purpose In the West, diverticular disease is located mainly in the left colon. However, it can also present in the right colon, with an incidence of 1% to 2% in Caucasians. The purpose of this study was to describe our experience in right-sided acute diverticulitis (RD). Methods In this retrospectiv...
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2023-04-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2021-00402-0057.pdf |
| _version_ | 1797831735445028864 |
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| author | René M. Palacios Huatuco Diana A. Pantoja Pachajoa Julian E. Liaño Héctor A. Picón Molina Rafael Palencia Alejandro M. Doniquian Matías Parodi |
| author_facet | René M. Palacios Huatuco Diana A. Pantoja Pachajoa Julian E. Liaño Héctor A. Picón Molina Rafael Palencia Alejandro M. Doniquian Matías Parodi |
| author_sort | René M. Palacios Huatuco |
| collection | DOAJ |
| description | Purpose In the West, diverticular disease is located mainly in the left colon. However, it can also present in the right colon, with an incidence of 1% to 2% in Caucasians. The purpose of this study was to describe our experience in right-sided acute diverticulitis (RD). Methods In this retrospective study, 410 patients with acute diverticulitis treated from 2013 to 2020 were included in a university hospital in Córdoba, Argentina. Colonic diverticulitis was stratified into 2 groups; RD and left-sided acute diverticulitis. Demographic and clinical variables, laboratory and imaging findings, type of treatment, follow-up, and recurrence were analyzed. Results Sixteen patients (3.9%) with RD were identified; 62.5% were male and the mean age was 40.7±11.7 years. A total of 81.3% were Caucasian and 18.7% Native American. Significant differences were found between both groups of diverticulitis; patients with RD were younger (P=0.001), with lower BMI (P=0.01), comorbidity rate (P=0.01), Charlson comorbidity index (P=0.02), hospital stay (P=0.01), severity according to the Hinchey classification (P=0.001) and had a lower recurrence rate (P=0.001). There were no significant differences in sex (P=0.95), duration of pain until admission (P=0.05), laboratory findings (P=0.23) and treatment (P=0.34). Conclusion Conservative treatment predominated in RD, with a lower rate of complications and recurrences, providing data that support conservative therapy as initial treatment in RD in our environment. |
| first_indexed | 2024-04-09T13:57:32Z |
| format | Article |
| id | doaj.art-290a0b025ef548198add3f82a03fd366 |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-04-09T13:57:32Z |
| publishDate | 2023-04-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-290a0b025ef548198add3f82a03fd3662023-05-08T00:41:03ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222023-04-0139212313010.3393/ac.2021.00402.00571889Right-sided acute diverticulitis in the West: experience at a university hospital in ArgentinaRené M. Palacios Huatuco0Diana A. Pantoja Pachajoa1Julian E. Liaño2Héctor A. Picón Molina3Rafael Palencia4Alejandro M. Doniquian5Matías Parodi6 General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, ArgentinaPurpose In the West, diverticular disease is located mainly in the left colon. However, it can also present in the right colon, with an incidence of 1% to 2% in Caucasians. The purpose of this study was to describe our experience in right-sided acute diverticulitis (RD). Methods In this retrospective study, 410 patients with acute diverticulitis treated from 2013 to 2020 were included in a university hospital in Córdoba, Argentina. Colonic diverticulitis was stratified into 2 groups; RD and left-sided acute diverticulitis. Demographic and clinical variables, laboratory and imaging findings, type of treatment, follow-up, and recurrence were analyzed. Results Sixteen patients (3.9%) with RD were identified; 62.5% were male and the mean age was 40.7±11.7 years. A total of 81.3% were Caucasian and 18.7% Native American. Significant differences were found between both groups of diverticulitis; patients with RD were younger (P=0.001), with lower BMI (P=0.01), comorbidity rate (P=0.01), Charlson comorbidity index (P=0.02), hospital stay (P=0.01), severity according to the Hinchey classification (P=0.001) and had a lower recurrence rate (P=0.001). There were no significant differences in sex (P=0.95), duration of pain until admission (P=0.05), laboratory findings (P=0.23) and treatment (P=0.34). Conclusion Conservative treatment predominated in RD, with a lower rate of complications and recurrences, providing data that support conservative therapy as initial treatment in RD in our environment.http://coloproctol.org/upload/pdf/ac-2021-00402-0057.pdfcolonic diverticulitishepatic flexureconservative treatmentsouth americaneutrophil to lymphocyte ratio |
| spellingShingle | René M. Palacios Huatuco Diana A. Pantoja Pachajoa Julian E. Liaño Héctor A. Picón Molina Rafael Palencia Alejandro M. Doniquian Matías Parodi Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina Annals of Coloproctology colonic diverticulitis hepatic flexure conservative treatment south america neutrophil to lymphocyte ratio |
| title | Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina |
| title_full | Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina |
| title_fullStr | Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina |
| title_full_unstemmed | Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina |
| title_short | Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina |
| title_sort | right sided acute diverticulitis in the west experience at a university hospital in argentina |
| topic | colonic diverticulitis hepatic flexure conservative treatment south america neutrophil to lymphocyte ratio |
| url | http://coloproctol.org/upload/pdf/ac-2021-00402-0057.pdf |
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