Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina

Huatuco René M. Palacios; Pachajoa Diana A. Pantoja; Liaño Julian E.; Molina Héctor A. Picón; Palencia Rafael; Doniquian Alejandro M.; Parodi Matías

doi:10.3393/ac.2021.00402.0057

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저자정보: Huatuco René M. Palacios (General Surgery Service Clínica Universitaria Reina Fabiola Universidad Católica de Córdoba) Pachajoa Diana A. Pantoja (General Surgery Service Clínica Universitaria Reina Fabiola Universidad Católica de Córdoba) Liaño Julian E. (General Surgery Service Clínica Universitaria Reina Fabiola Universidad Católica de Córdoba) Molina Héctor A. Picón (General Surgery Service Clínica Universitaria Reina Fabiola Universidad Católica de Córdoba) Palencia Rafael (General Surgery Service Clínica Universitaria Reina Fabiola Universidad Católica de Córdoba) Doniquian Alejandro M. (General Surgery Service Clínica Universitaria Reina Fabiola Universidad Católica de Córdoba) Parodi Matías (General Surgery Service Clínica Universitaria Reina Fabiola Universidad Católica de Córdoba)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.39 No.2

발행연도: 2023.4

수록면: 123 - 130 (8page)

DOI: 10.3393/ac.2021.00402.0057

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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%–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.

#Colonic diverticulitis #Hepatic flexure #Conservative treatment #South America #Neutrophil to lymphocyte ratio

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