Treatment of Right Colonic Diverticulitis: The Role of Nonoperative Treatment
김마루, 계봉현, 김형진, 조현민, 오성택, 김준기,
소속 상세정보
김마루 ( Kim Ma-Ru )
Catholic University School of Medicine St. Vincent Hospital Department of Surgery
계봉현 ( Kye Bong-Hyeon )
Catholic University School of Medicine St. Vincent Hospital Department of Surgery
김형진 ( Kim Hyung-Jin )
Catholic University School of Medicine St. Vincent Hospital Department of Surgery
조현민 ( Cho Hyeon-Min )
Catholic University School of Medicine St. Vincent Hospital Department of Surgery
오성택 ( Oh Seong-Taek )
Catholic University School of Medicine Seoul St. Mary’s Hospital Department of Surgery
김준기 ( Kim Jun-Gi )
Catholic University School of Medicine Seoul St. Mary’s Hospital Department of Surgery
KMID : 0356720100260060402
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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