Destek Sabahattin, Gül Vahit Onur
Department of General Surgery, Bezmiâlem Vakif University Faculty of Medicine Hospital, İstanbul-Turkey.
Department of General Surgery, Gulhane Training and Research Hospital, Ankara-Turkey.
Ulus Travma Acil Cerrahi Derg. 2019 Jul;25(4):396-402. doi: 10.14744/tjtes.2019.47382.
Approximately 10%-25% of patients with colon diverticular disease experience colonic diverticulitis during their lives. Right-sided diverticulosis is a rare condition in Western countries, but it is common among Asian countries. The aim of this study was to evaluate the clinical and treatment outcomes in our patients with right colon diverticulitis.
Demographic and clinical data of 22 patients with a diagnosis of cecum and right-sided colon diverticulitis between 2014 and 2017 were analyzed. The Hinchey staging was applied according to the radiological evaluation and clinical findings. Then, the proportions of demographic and clinical features of the patients according to the Hinchey staging and its statistical significance were evaluated.
Our study included 22 patients who suffered from right colon diverticulitis. The female-to-male ratio was 0.69. A total of 68.1% of the patients were the Hinchey Stage I, and 31.8% were the Hinchey Stage II, all of which were evaluated by tomography. The Hinchey Stage I diverticulitis was mostly found in the right colon (66.7%) and the Hinchey Stage II diverticulitis in the cecum (57.1%). The mean age of the Hinchey Stage II patients was higher (63.6 years) and statistically significant (p<0.05). Two patients had appendectomy, and one had right hemicolectomy. Conservative treatment was applied to other 19 patients. The mean hospitalization time was 3.4 days. Four patients who received conservative treatment at the 2-year follow-up had recurrence. No recurrence was observed in patients receiving surgical treatment.
Right colon diverticulitis is usually seen in solitary men aged <50 years from Eastern societies. As a treatment option, conservative methods should be preferred, especially in uncomplicated cases. Surgical treatment is usually used in the treatment of recurrent and complicated cases.
约10%-25%的结肠憩室病患者在其一生中会发生结肠憩室炎。右侧憩室病在西方国家是一种罕见疾病，但在亚洲国家较为常见。本研究的目的是评估我院右侧结肠憩室炎患者的临床及治疗结果。
分析了2014年至2017年间22例诊断为盲肠和右侧结肠憩室炎患者的人口统计学和临床数据。根据放射学评估和临床发现应用欣奇分级。然后，评估患者根据欣奇分级的人口统计学和临床特征比例及其统计学意义。
我们的研究纳入了22例右侧结肠憩室炎患者。男女比例为0.69。共有68.1%的患者为欣奇I期，31.8%为欣奇II期，均通过断层扫描评估。欣奇I期憩室炎大多位于右侧结肠（66.7%），欣奇II期憩室炎位于盲肠（57.1%）。欣奇II期患者的平均年龄较高（63.6岁），且具有统计学意义（p<0.05）。2例患者接受了阑尾切除术，1例接受了右半结肠切除术。其他19例患者采用保守治疗。平均住院时间为3.4天。4例接受保守治疗的患者在2年随访时有复发。接受手术治疗的患者未观察到复发。
右侧结肠憩室炎通常见于来自东方社会的年龄<50岁的单身男性。作为一种治疗选择，应首选保守方法，尤其是在非复杂病例中。手术治疗通常用于复发性和复杂性病例的治疗。
