Document Detail


Endoscopic findings of diverticular inflammation in colonoscopy patients without clinical acute diverticulitis: prevalence and endoscopic spectrum.
MedLine Citation:
PMID:  12738459     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Experienced colonoscopists sometimes encounter endoscopic findings of diverticular inflammation in patients without clinical evidence of acute diverticulitis. Our aim was to describe the spectrum and prevalence of such endoscopic findings in a consecutive series of patients undergoing colonoscopy. METHODS: During elective colonoscopy performed by a single endoscopist on 2566 consecutive outpatients, 21 patients were identified with endoscopic evidence of diverticular inflammation. RESULTS: Endoscopic findings included erythema and edema of a diverticular opening (n = 8), pus emanating from a diverticular orifice (n = 8), and a polypoid mass of granulation tissue in a diverticular orifice (n = 15). Follow-up was obtained by telephone in 17 patients at a mean of 11.9 months after colonoscopy. Only one patient had symptoms of diverticulitis at the time of colonoscopy. This patient improved with antibiotic therapy. Six of the 21 patients had experienced symptoms of abdominal pain or fever, but only one had a diagnosed episode of acute diverticulitis before colonoscopy. None of the patients had acute diverticulitis during the follow-up interval. CONCLUSIONS: Endoscopic findings of diverticular inflammation were identified in about 0.8% of patients undergoing colonoscopy without clinical evidence of diverticulitis. Most patients are asymptomatic at the time of colonoscopy, and antibiotic therapy is generally unnecessary.
Authors:
Sujoy Ghorai; Thomas M Ulbright; Douglas K Rex
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  98     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-05-09     Completed Date:  2003-06-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  802-6     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University Medical Center, Indianapolis, Indiana, USA.
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MeSH Terms
Descriptor/Qualifier:
Academic Medical Centers / statistics & numerical data
Acute Disease
Colonic Diseases / epidemiology*,  pathology*,  therapy
Colonoscopy / statistics & numerical data*
Diverticulitis / epidemiology*,  pathology*,  therapy
Diverticulum, Stomach / epidemiology*,  pathology*,  therapy
Female
Humans
Male
Middle Aged
Prevalence
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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