Treatment of Right Colonic Diverticulitis: The Role of Nonoperative Treatment.
10.3393/jksc.2010.26.6.402
- Author:
Ma Ru KIM
1
;
Bong Hyeon KYE
;
Hyung Jin KIM
;
Hyeon Min CHO
;
Seong Taek OH
;
Jun Gi KIM
Author Information
1. Department of Surgery, St. Vincent Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. hmcho@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Diverticulitis;
Colonic diverticulitis;
Drug therapy
- MeSH:
Anti-Bacterial Agents;
Colon;
Diverticulitis;
Diverticulitis, Colonic;
Follow-Up Studies;
Humans;
Recurrence;
Retrospective Studies
- From:Journal of the Korean Society of Coloproctology
2010;26(6):402-406
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study is to evaluate the value of nonoperative treatment for right-sided colonic diverticulitis. METHODS: One hundred fifty-eight patients with right-sided colonic diverticulitis were evaluated. Clinical history, physical and radiologic findings, and treatments were reviewed retrospectively. Also, additional episodes and treatment modalities were checked. RESULTS: Our patients were classified according to treatment modality; 135 patients (85.4%) underwent conservative treatment, including antibiotics and bowel rest, and 23 patients (14.6%) underwent surgery. The mean follow-up length was 37.3 months, and 17 patients (17.5%) underwent recurrent right-sided colonic diverticulitis. Based on treatment modality, including surgery and antibiotics, no significant differences in the clinical features and the recurrence rates were noted between the two groups. CONCLUSION: Conservative management with bowel rest and antibiotics could be considered as a safe and effective option for treating right-sided colonic diverticulitis. This treatment option for right-sided colonic diverticulitis, even if the disease is complicated, may be the treatment of choice.
