Outcome
Conditions
Keywords
diverticulum, surgery, appendicitis, sigmoid volvulus, caecum, diverticulitis
Brief summary
The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy.
Detailed description
The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Here, we aimed to discuss the results of conservative and surgical treatment for right colon diverticulitis in the light of the literature. 150 patients treated for colon diverticulitis between 2015-2020 were retrospectively screened. Right colon diverticulitis detected incidentally, missing data, and left colon diverticulitis were excluded from the study. Data of a total of 26 patients were accessed. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy
Interventions
PROCEDUREFailure conservative treatment
Surgery was performed in patients who failed conservative treatment.
PROCEDURESurgery
Surgery was performed in patients who had generalized peritonitis and perforation.
OTHERConservative treatment
Conservative treatment was performed in patients who had no generalized peritonitis and perforation.
Sponsors
Tepecik Training and Research Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Conservative treatment, Operative treatment
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* diagnosed with right colon diverticulitis
Exclusion criteria
* Left colon diverticulitis * Right colon diverticulitis detected incidentally * lacking data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants with mortality | up to 24 weeks | mortality |
| Number of Participants with wound infection | up to 24 weeks | wound infection |
Countries
Turkey (Türkiye)
Outcome results
None listed