International Journal of Colorectal Disease

, Volume 28, Issue 6, pp 849–854 | Cite as

Non-operative treatment of right-sided colonic diverticulitis has good long-term outcome: a review of 226 patients

Original Article

Abstract

Introduction

Data highlighting the long-term outcome following an initial episode of right-sided colonic diverticulitis is lacking. This study aims to evaluate and follow up on all patients with right-sided colonic diverticulitis.

Methods

A retrospective review of all patients who were discharged with a diagnosis of right-sided colonic diverticulitis from January 2003 to April 2008 was performed.

Results

A total of 226 patients, with a median age of 49 (range, 16–93) years, were admitted for acute right-sided colonic diverticulitis. The majority of the patients (n = 198, 87.6 %) had mild diverticulitis (Hinchey Ia and Ib). Seventy-three (32.3 %) patients underwent emergency surgery. The indications of surgery were predominantly suspected appendicitis (n = 50, 22.1 %) and perforated diverticulitis (n = 16, 7.1 %). Right hemicolectomy was performed in 32 (43.8 %) patients, while appendectomy, with or without diverticulectomy, was performed in the rest (n = 41, 56.2 %). There were seven patients who underwent elective right hemicolectomy after their acute admissions.Over a median duration of 64 (12–95) months, there were only nine patients who were readmitted 12 times for recurrent diverticulitis at a median duration of 17 (1–48) months from the index admission. The freedom from failure (recurrent attacks or definitive surgery (right hemicolectomy)) at 60 months was 92.0 % (95 % Confidence interval 86.1 %–97.9 %).

Conclusion

Right-sided diverticulitis is commonly encountered in the Asian population and often gets misdiagnosed as acute appendicitis. If successfully managed conservatively, the long-term outcome is excellent.

Keywords

Conservative Diverticulitis Right sided Asians Management 

Notes

Financial disclosure

None

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Division of Colorectal Surgery, University Surgical ClusterNational University Health SystemSingaporeSingapore
  2. 2.Yong Loo Lin School of MedicineNational University of SingaporeSingaporeSingapore
  3. 3.Department of General SurgeryTan Tock Seng HospitalSingaporeSingapore

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