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A CLINICAL AND RADIOLOGICAL COMPARISON OF SIGMOID DIVERTICULITIS EPISODES 1 AND 2.
MedLine Citation:
PMID:  21689325     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  After an initial uncomplicated attack, sigmoid diverticulitis may recur, but the morphological characteristics of recurrent diverticulitis have not been investigated. We compared the clinical and radiological severity, the respective location and clinical outcome of the first two episodes of sigmoid diverticulitis. Method:  We reviewed the charts of 60 patients (median age 61[range 31-90] years) who were admitted initially for a first episode of uncomplicated left colonic diverticulitis, and who were eventually readmitted for a second episode, both being documented with abdominal CT scan. Results:  The median delay between the two episodes was 19 (3-97) months. Six (10%) patients developed a second complicated episode of diverticulitis (Hinchey II (n=2) CT-guided percutaneous drainage; Hinchey III (n=3) emergency Hartmann operation; colovesical fistula (n=1) elective sigmoid resection). Fifty four (90%) patients were admitted for a second episode of uncomplicated diverticulitis. In this group, the duration of hospital stay (11 [4-22] vs. 10 [1-39] days, p=0.28), serum levels of C-reactive protein (131 [31-350] vs. 112 [22-333] mMol/L, p=0.62), and CT scan-based severity score (3 [1-6] vs.3 [0-7] points, p=0.07) were similar between the two episodes. In nineteen out of 54 (35%) patients with simple recurrent diverticulitis, although disease severity was similar, the disease topography differed and recurrence involved another segment of left colon. Conclusion:  The majority of patients who develop recurrence do so in a similar mode and location. However, 10% develop complicated diverticulitis and in 35% of patients recurrent diverticulitis occurs at a different location.
Authors:
Pascal Gervaz; Alexandra Platon; Lucien Widmer; Patrick Ambrosetti; Pierre-Alexandre Poletti
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-4
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-6-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Departments of Surgery Radiology, Geneva University Hospital and Medical School.
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