Annals of Coloproctology

Original Article

Treatment of Right Colonic Diverticulitis: The Role of Nonoperative Treatment: Ma Ru Kim, Bong-Hyeon Kye, Hyung Jin Kim, Hyeon-Min Cho, Seong Taek Oh, Jun-Gi Kim; J Korean Soc Coloproctol. 2010;26(6):402-406. Published online December 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.6.402

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24 Citations

Purpose

The purpose of this study is to evaluate the value of nonoperative treatment for right-sided colonic diverticulitis.

Methods

One hundred fifty-eight patients with right-sided colonic diverticulitis were evaluated. Clinical history, physical and radiologic findings, and treatments were reviewed retrospectively. Also, additional episodes and treatment modalities were checked.

Results

Our patients were classified according to treatment modality; 135 patients (85.4%) underwent conservative treatment, including antibiotics and bowel rest, and 23 patients (14.6%) underwent surgery. The mean follow-up length was 37.3 months, and 17 patients (17.5%) underwent recurrent right-sided colonic diverticulitis. Based on treatment modality, including surgery and antibiotics, no significant differences in the clinical features and the recurrence rates were noted between the two groups.

Conclusion

Conservative management with bowel rest and antibiotics could be considered as a safe and effective option for treating right-sided colonic diverticulitis. This treatment option for right-sided colonic diverticulitis, even if the disease is complicated, may be the treatment of choice.

Citations

Citations to this article as recorded by

Comparison of surgical management and outcomes of acute right colic and sigmoid diverticulitis: a French national retrospective cohort study
E. Karam, C. Sabbagh, L. Beyer-Bergeot, P. Zerbib, V. Bridoux, G. Manceau, Y. Panis, E. Buscail, A. Venara, I. Khaoudy, M. Gaillard, M. Viennet, A. Thobie, B. Menahem, C. Eveno, C. Bonnel, J.-Y. Mabrut, B. Badic, C. Godet, Y. Eid, E. Duchalais, Z. Lakkis,
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M. Gonzalez-Urquijo, A. Baca-Arzaga, G. Lozano-Balderas
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World Journal of Surgery.2020; 44(6): 1994. CrossRef
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K. Spacil, J. Meyer, M. Stehr, M. Schäfer
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Journal of Visceral Surgery.2019; 156(4): 296. CrossRef
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Journal de Chirurgie Viscérale.2019; 156(4): 322. CrossRef
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The Journal of Emergency Medicine.2018; 54(4): e77. CrossRef
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ANZ Journal of Surgery.2017; 87(6): 467. CrossRef
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Diverticular Disease: Guidelines of the German Society for Gastroenterology, Digestive and Metabolic Diseases and the German Society for General and Visceral Surgery
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Non-operative treatment of right-sided colonic diverticulitis has good long-term outcome: a review of 226 patients
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Gut and Liver.2013; 7(5): 532. CrossRef
Risk Factors for Severe Diverticulitis in Computed Tomography-Confirmed Acute Diverticulitis in Korea
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