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Segmental colitis associated with diverticulosis: a 5-year follow-up

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Abstract

Background and aims

Literature data about the outcome of segmental colitis associated with diverticulosis (SCAD) are scarce. Our aim was to assess the clinical outcome of SCAD according to the type of disease.

Patients/methods

Twenty-seven SCAD patients underwent a 5-year follow-up (13 males, 14 females; mean age, 63.71 years; range, 50–85 years). Eleven patients were affected by type A, eight by type B, four by type C and four by type D SCAD. During the follow-up, all type B, C, and D patients were under continuous medical treatment. Five type A patients refused any maintaining treatment, but accepted to undergo the clinical, endoscopic, and histological follow-up.

Results/findings

Five type A patients taking therapy (83.33%), two type A not taking therapy (50%), all type C patients (100%), five type B patients (62.5%) and none of type D (0%) were under continuous remission at the end of the follow-up. All type D patients required further steroid course to obtain remission, and two patients required azathioprine to maintain remission.

Interpretations/conclusions

SCAD B and D patients fail to maintain long-term remission, often requiring immunosuppressive treatment. SCAD A and C patients show a more benign course; however, long-term treatment guarantees longer remission also in those patients.

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Authors and Affiliations

  1. Gastroenterology Service, ASL BAT, Andria (BAT), Italy

    Antonio Tursi

  2. Division of Gastroenterology, ASL Roma H, Albano Laziale, Rome, Italy

    Walter Elisei

  3. Digestive Endoscopy & Nutrition Unit, “S. Eugenio” Hospital, Rome, Italy

    Gian Marco Giorgetti

  4. Division of Pathology, “Lorenzo Bonomo” Hospital, ASL BAT, Andria (BAT), Italy

    Cosimo Damiano Inchingolo & Rosanna Nenna

  5. Division of Surgery, “C. Colombo” Hospital, ASL RMH, Velletri, Rome, Italy

    Marcello Picchio

  6. Division of Gastroenterology, “Cristo Re” Hospital, Rome, Italy

    Giovanni Brandimarte

  7. Servizio di Gastroenterologia Territoriale, DSS n°4, ASL BAT, Via Torino, 49, 70031, Andria, Italy

    Antonio Tursi

Authors
  1. Antonio Tursi
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  2. Walter Elisei
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  3. Gian Marco Giorgetti
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  4. Cosimo Damiano Inchingolo
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  5. Rosanna Nenna
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  6. Marcello Picchio
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  7. Giovanni Brandimarte
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Corresponding author

Correspondence to Antonio Tursi.

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Tursi, A., Elisei, W., Giorgetti, G.M. et al. Segmental colitis associated with diverticulosis: a 5-year follow-up. Int J Colorectal Dis 27, 179–185 (2012). https://doi.org/10.1007/s00384-011-1296-3

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  • DOI: https://doi.org/10.1007/s00384-011-1296-3

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