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KMID : 1141920230390020123
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Annals of Coloproctology
2023 Volume.39 No. 2 p.123 ~ p.130
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Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina
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Rene M. Palacios Huatuco
Diana A. Pantoja Pachajoa
Julian E. Liano
Hector A. Picon Molina
Rafael Palencia
Alejandro M. Doniquian
Matias Parodi
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Abstract
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Purpose: In the West, diverticular disease is located mainly in the left colon. However, it can also present in the right colon, with an incidence of 1%?2% in Caucasians. The purpose of this study was to describe our experience in right-sided acute diverticulitis (RD).
Methods: In this retrospective study, 410 patients with acute diverticulitis treated from 2013 to 2020 were included in a university hospital in Cordoba, Argentina. Colonic diverticulitis was stratified into 2 groups; RD and left-sided acute diverticulitis. Demographic and clinical variables, laboratory and imaging findings, type of treatment, follow-up, and recurrence were analyzed.
Results; Sixteen patients (3.9%) with RD were identified; 62.5% were male and the mean age was 40.7±11.7 years. A total of 81.3% were Caucasian and 18.7% Native American. Significant differences were found between both groups of diverticulitis; patients with RD were younger (P=0.001), with lower BMI (P=0.01), comorbidity rate (P=0.01), Charlson comorbidity index (P=0.02), hospital stay (P=0.01), severity according to the Hinchey classification (P=0.001) and had a lower recurrence rate (P=0.001). There were no significant differences in sex (P=0.95), duration of pain until admission (P=0.05), laboratory findings (P=0.23) and treatment (P=0.34).
Conclusion: Conservative treatment predominated in RD, with a lower rate of complications and recurrences, providing data that support conservative therapy as initial treatment in RD in our environment.
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KEYWORD
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Colonic diverticulitis, Hepatic flexure, Conservative treatment, South America, Neutrophil-to-lymphocyte ratio
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