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KMID : 1147420210060020047
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Journal of Surgical Infection
2021 Volume.6 No. 2 p.47 ~ p.53
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Early Colonoscopic Irrigation in Right-sided Colonic Diverticulitis: A Pilot Study
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Kim Hyun-Ho
Lee In-Kyu
Lee Yoon-Suk
Kye Bong-Hyeon
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Abstract
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Objectives: Fecal materials in the diverticulum may be an important cause of prolonged symptoms and disease recurrence. This study aimed to compare the safety and efficacy of early colonoscopic irrigation (CI) for the removal of fecal materials from diverticula with those of conservative care (CC) in right-sided colonic diverticulitis (RCD).
Methods: This was a retrospective cohort study of patients diagnosed with uncomplicated RCD. During the study period, 20 patients underwent early CI during hospitalization, and 40 patients were treated with CC. We compared the duration of antibiotic use, number of hospital days, frequency of painkiller use, fasting period, and inflammatory markers between the two groups.
Results: No patient experienced complications or deterioration of the disease during or after CI. The duration of intravenous antibiotic use was 3.2 days in the CI group and 4.1 days in the CC group (p=0.024); the duration of oral antibiotic use was 6.9 days in the CI group and 8.8 days in the CC group (p=0.001). The total frequency of painkiller use was 0.9 in the CI group and 1.5 in the CC group (p=0.039). There were no differences in other clinical parameters between the two groups.
Conclusion: This study showed that early CI can reduce the duration of antibiotic use and the frequency of painkiller use. Based on these results, it is expected that early CI in uncomplicated RCD can be a safe and feasible therapeutic option.
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KEYWORD
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Colonic diverticulitis, Colonoscopy, Safe and feasible
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