Role of colonoscopy in patients with persistent acute diverticulitis

Adi Lahat, Henit Yanai, Emad Sakhnini, Yoram Menachem, Simon Bar-Meir

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: To identify patients with persistent acute diverticulitis who might benefit from an early colonoscopy during their first hospitalization. Methods: All patients hospitalized between July 2000 and December 2006 for acute diverticulitis who underwent colonoscopy were included in the study. Patients were followed during hospitalization and after discharge. Patients were considered to have a persistent course of acute diverticulitis if symptoms continued after 1 wk of conventional treatment with TV antibiotics, or if symptoms recurred within 2 mo after discharge. Patients were considered to benefit from an early colonoscopy if the colonoscopy was therapeutic or if it changed a patient's outcome. Results: Three hundred and six patients were hospitalized between July 2000 and December 2006 with the dicIgnosis of acute diverticulitis. Two hundred and twenty four of these were included in the study group. Twenty three patients (10.3%) fulfilled the criteria for a persistent course of acute diverticulitis. Of them, four patients (17.4%) clearly benefited from an early colonoscopy; these patients' clinical course is described. None of the patients with a regular non-persistent course demonstrated any benefit from colonoscopy. Conclusion: Early colonoscopy detected other significant pathology, which accounted for the clinical presentation in 17% of patients with persistent acute diverticulitis. Therefore, we believe an early colonoscopy should be considered in all patients with a persistent clinical course.

Original languageEnglish
Pages (from-to)2763-2766
Number of pages4
JournalWorld Journal of Gastroenterology
Volume14
Issue number17
DOIs
StatePublished - 7 May 2008

Keywords

  • Clinical course
  • Early colono-scopy
  • Persistent acute diverticulitis

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