NCT04746326

Treatment in Right Colon Diverticulitis Patients

Operative and Conservative Treatment in Right Colon Diverticulitis Patients

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 26 (actual)
• Sponsor: Tepecik Training and Research Hospital · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy.

Detailed description

The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Here, we aimed to discuss the results of conservative and surgical treatment for right colon diverticulitis in the light of the literature. 150 patients treated for colon diverticulitis between 2015-2020 were retrospectively screened. Right colon diverticulitis detected incidentally, missing data, and left colon diverticulitis were excluded from the study. Data of a total of 26 patients were accessed. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy

Conditions

• Outcome

Interventions

Type	Name	Description
PROCEDURE	Failure conservative treatment	Surgery was performed in patients who failed conservative treatment.
PROCEDURE	Surgery	Surgery was performed in patients who had generalized peritonitis and perforation.
OTHER	Conservative treatment	Conservative treatment was performed in patients who had no generalized peritonitis and perforation.

Timeline

• Start date: 2020-01-01
• Primary completion: 2021-01-01
• Completion: 2021-01-20
• First posted: 2021-02-09
• Last updated: 2021-02-09

Locations

1 site across 1 country: Turkey (Türkiye)