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Treatment of Right Colonic Diverticulitis: The Role of Nonoperative Treatment

대한대장항문학회지 2010년 26권 6호 p.402 ~ 406
 ( Kim Ma-Ru ) - Catholic University School of Medicine St. Vincent Hospital Department of Surgery

 ( Kye Bong-Hyeon ) - Catholic University School of Medicine St. Vincent Hospital Department of Surgery
 ( Kim Hyung-Jin ) - Catholic University School of Medicine St. Vincent Hospital Department of Surgery
 ( Cho Hyeon-Min ) - Catholic University School of Medicine St. Vincent Hospital Department of Surgery
 ( Oh Seong-Taek ) - Catholic University School of Medicine Seoul St. Mary’s Hospital Department of Surgery
 ( Kim Jun-Gi ) - Catholic University School of Medicine Seoul St. Mary’s Hospital Department of Surgery

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.

키워드

Diverticulitis; Colonic diverticulitis; Drug therapy
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