Titre
Recurrent left colonic diverticulitis episodes: more severe than the initial diverticulitis?
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Pittet, O.
Auteure/Auteur
Kotzampassakis, N.
Auteure/Auteur
Schmidt, S.
Auteure/Auteur
Denys, A.
Auteure/Auteur
Demartines, N.
Auteure/Auteur
Calmes, J.M.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0364-2313
Statut éditorial
Publié
Date de publication
2009
Volume
33
Numéro
3
Première page
547
Dernière page/numéro d’article
552
Peer-reviewed
Oui
Langue
anglais
Résumé
BACKGROUND: Until recently, it was accepted that the rate of complications and failure of medical therapy were higher during recurrent episodes of diverticulitis. New data and new interpretation of older studies have challenged this opinion. The aim of the present study was to determine whether recurrent diverticulitis in comparison with the initial episode has a different short-term outcome after medical or surgical treatment. METHODS: This was a retrospective cohort study of 271 consecutive patients admitted for diverticulitis confirmed by computed tomography (CT) between 2001 and 2004. Altogether 202 patients had an initial episode (group I), and 69 had recurrent diverticulitis (group R). A total of 20 clinical and 15 radiologic parameters were analyzed and compared between the two groups, including need for surgery, clinical presentation at admission, response to treatment, complications, laboratory parameters, and pathologic CT features (colonic wall thickening, abscess, pneumoperitoneum, free intraperitoneal fluid). An unpaired Student's t-test and Fisher's and Wilcoxon's tests were applied for statistical analysis. RESULTS: None of the clinical or radiologic parameters was statistically different between the two groups. Regarding surgery, 15.8% of the group I patients needed surgery at admission compared to 5.8% in group R (p = 0.04). Conservative treatment failure was similar in the two groups (10.7% vs. 10.0%; p = 0.84). There was 3% mortality at 30 days in group I compared to 0% in group R. CONCLUSIONS: Recurrent episodes of diverticulitis do not lead to more complications and more conservative treatment failure. Moreover, surgery at admission was less frequent among patients who presented with a recurrence.
PID Serval
serval:BIB_AB67D817D322
PMID
Open Access
Oui
Date de création
2009-06-22T13:34:54.294Z
Date de création dans IRIS
2025-05-20T22:13:57Z
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Nom
REF.pdf
Version du manuscrit
published
Taille
166.38 KB
Format
Adobe PDF
PID Serval
serval:BIB_AB67D817D322.P001
URN
urn:nbn:ch:serval-BIB_AB67D817D3225
Somme de contrôle
(MD5):448375a106a74fe16b953f6c39b32db6