Management of Cecal Diverticulitis.
- Author:
Jong Je SUNG
1
;
Dan SONG
;
Gaun Yue HONG
;
Nae Kyeong PARK
Author Information
1. Department of Surgery, Soonchunhyang University Gumi Hospital, Gumil, Korea. backsa7@mail.schgm.co.kr
- Publication Type:Original Article
- Keywords:
Diverticulitis;
Cecal
- MeSH:
Abscess;
Appendectomy;
Appendicitis;
Cecum;
Colon, Ascending;
Diverticulitis*;
Gyeongsangbuk-do;
Humans;
Intestinal Obstruction;
Postoperative Complications;
Recurrence;
Retrospective Studies;
Wound Infection
- From:Journal of the Korean Society of Coloproctology
2004;20(5):251-256
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Diverticular disease of the cecum and ascending colon is a relatively uncommon disease, and is often difficult to diagnose. The purpose of this study was to investigate the clinical features of patients who underwent surgical treatment for cecal diverticulitis. METHODS: A retrospective review was conducted between January 1998 and December 2002 of 44 patients treated at the Department of Surgery, Soonchunghyang Gumi Hospital. RESULTS: All patients presented with right lower quadrant pain and tenderness. Preoperatively, 34 patients were diagnosed with acute appendicitis. The surgical procedures for cecal diverticulitis were an appendectomy only (5 cases), a diverticulectomy with appendectomy (31 cases), and a right hemicolectomy (8 cases). Postoperative complications were found in 17 cases: wound infection (13 cases), and partial intestinal obstruction (2 cases). CONCLUSIONS: When cecal diverticulitis is found at the time of an operation, surgical management is a safe treatment with low morbidity and a low recurrence rate. A diverticulectomy with appendectomy is a safe and effective procedure for the treatment of cecal diverticulitis if there is no evidence of free perforation or abscess formation. If the diverticulitis is complicated, undistinguishable from a malignancy, a resection (ileocecal resection, right hemicolectomy) should be considered for the surgical treatment.
