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Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack

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Abstract

Purpose

Most patients with acute right colonic uncomplicated diverticulitis can be managed conservatively. The aim of this study was to assess the clinical and radiologic risk factors for recurrence in patients with right colonic uncomplicated diverticulitis.

Methods

The present survey included 469 patients who were successfully managed conservatively for the first episode of right colonic uncomplicated diverticulitis between 2002 and 2012 in a referral center, and records were reviewed from collected data. Patients were divided into two groups: a nonrecurrent and a recurrent group. The clinical and radiologic features of all patients were analyzed to identify possible risk factors for recurrence. The Kaplan-Meier method and Cox regression were used.

Results

Seventy-four (15.8 %) patients had recurrence, and 15 (3.2 %) received surgery at recurrence within a median follow-up of 59 months. The mean recurrence interval after the first attack was 29 months. In univariate and multivariate analyses, risk factors for recurrence were confirmed multiple diverticula (relative risk [RR], 2.62; 95 % confidence interval [CI], 1.56–4.40) and intraperitoneally located diverticulitis (RR, 3.73; 95 % CI, 2.13–6.52). Of 66 patients with two risk factors, 36 (54.5 %) had recurrence and 10 (15.2 %) received surgery at recurrence.

Conclusions

In patients with right colonic uncomplicated diverticulitis who have multiple diverticula and intraperitoneally located diverticulitis, the possibility of recurrence and surgical rate are high. Poor outcome may be cautioned in these patients.

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Conflict of interest

This paper is not supported by any grant, funding source, or commercial interest.

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Authors and Affiliations

  1. Department of Surgery, Hallym University College of Medicine, 896 Pyeongchon-dong, Dongan-gu, Anyang, 431-070, Republic of Korea

    Hyoung-Chul Park, Min Jeong Kim & Bong Hwa Lee

  2. Department of Surgery, Chung-Ang University Hospital, Seoul, Republic of Korea

    Byung Seup Kim

  3. Department of Radiology, Hallym University College of Medicine, Anyang, Korea

    Kwanseop Lee

Authors
  1. Hyoung-Chul Park
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  2. Byung Seup Kim
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  3. Kwanseop Lee
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  4. Min Jeong Kim
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  5. Bong Hwa Lee
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Corresponding author

Correspondence to Bong Hwa Lee.

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Park, HC., Kim, B.S., Lee, K. et al. Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack. Int J Colorectal Dis 29, 1217–1222 (2014). https://doi.org/10.1007/s00384-014-1941-8

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  • DOI: https://doi.org/10.1007/s00384-014-1941-8

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