Treatment of Right Colonic Diverticulitis: The Role of Nonoperative Treatment
Journal of the Korean Society of Coloproctology
;
: 402-406, 2010.
Artículo
en Inglés
| WPRIM
| ID: wpr-160497
ABSTRACT
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Recurrencia
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Colon
/
Diverticulitis
/
Diverticulitis del Colon
/
Antibacterianos
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of the Korean Society of Coloproctology
Año:
2010
Tipo del documento:
Artículo
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