Article: Right sided diverticulitis in western countries: A review.
World journal of gastrointestinal surgery
2022 Volume 13, Issue 12, Page(s) 1721–1735
Abstract: Background: Although the treatment guidelines for left sided diverticulitis are clear, the management of right colonic diverticulitis is not well established. This disease can no longer be ignored due to significant spread throughout Asia.: Aim: To ... ...
| Abstract | Background: Although the treatment guidelines for left sided diverticulitis are clear, the management of right colonic diverticulitis is not well established. This disease can no longer be ignored due to significant spread throughout Asia. Aim: To analyse epidemiology, diagnosis and treatment of right-sided diverticulitis in western countries. Methods: MEDLINE and PubMed searches were performed using the key words "right-sided diverticulitis'', ''right colon diverticulitis'', ''caecal diverticulitis'', ''ascending colon diverticulitis'' and ''caecum diverticula'' in order to find relevant articles published until 2021. Results: A total of 18 studies with 422 patients were found. Correct diagnosis was made only in 32.2%, mostly intraoperatively or Conclusion: The management of right- sided diverticulitis is not well clarified in the western world and no selective guidelines have been considered even if principles are similar to those with left- sided diverticulitis. Wrong diagnosis is one of the most important problems and CT scan seems to be the best imaging modality. NOM offers a safe and effective treatment; surgery should be considered only in cases of complicated diverticulitis or if malignancy cannot be excluded. Further studies are needed to clarify the correct treatment. |
|---|---|
| Language | English |
| Publishing date | 2022-01-13 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2573700-4 |
| ISSN | 1948-9366 |
| ISSN | 1948-9366 |
| DOI | 10.4240/wjgs.v13.i12.1721 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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