Bamanie Hanan M, Malibary Nadim, Algarni Nada A, Badawi Jumana O, AlNasser Lujain M, Almalki Khadijah A, Alnemari Renad F
Surgery, King Abdulaziz University, Jeddah, SAU.
Visceral and General Surgery, Hautepierre Hospital, Strasbourg, FRA.
Cureus. 2022 Dec 16;14(12):e32615. doi: 10.7759/cureus.32615. eCollection 2022 Dec.
Acute diverticulitis is considered one of the most common emergencies presenting with acute abdomen. There is a paucity of literature on the epidemiology and clinical picture of acute diverticulitis among the Middle Eastern population. Thus, this study aimed to describe the epidemiology, complications, and outcomes in addition to the management of acute diverticulitis in King Abdul-Aziz University Hospital (KAUH), Jeddah, Saudi Arabia.
This retrospective study was conducted from 2009 to 2019, using data extracted from an electronic medical system. Data obtained included demographics, clinical presentation, and patient management. Quantitative variables were described as mean and standard deviation, whereas qualitative variables were described as numbers and percentages. The Mann-Whitney U test was used for non-parametric variables, and correlation analysis was done using Spearman's test.
Forty-five patients with a median age of 53 years had acute diverticulitis. Twenty-eight patients (62.2%) were Saudi Arabians, and 27 (60%) were male. The majority of patients (n=32, 71.1%) had only left-sided disease, and abdominal pain was the most frequently reported symptom (n=35, 77.8%). Computed tomography revealed that 21 (72.4 %) patients had Hinchey classification stage IA disease. The recurrence rate was 24.4% (N =11). Four patients required 30-day readmission (8.9%). The most commonly used inpatient antibiotic was metronidazole, and the most common surgical procedure was Hartmann's procedure. The 30-day mortality rate was 6.7% (n=3).
This study found that acute diverticulitis is more prevalent in men, has a high recurrence rate, and is predominantly seen in the left colon. Most patients have an uncomplicated form of the disease. Given the lack of previous studies in Saudi Arabia, future research should include population-based studies to identify the prevalence, complications, and outcomes of acute diverticulitis in the country.
急性憩室炎被认为是急性腹痛最常见的急症之一。关于中东人群急性憩室炎的流行病学和临床表现的文献较少。因此，本研究旨在描述沙特阿拉伯吉达阿卜杜勒-阿齐兹国王大学医院（KAUH）急性憩室炎的流行病学、并发症、结局以及治疗情况。
本回顾性研究于2009年至2019年进行，使用从电子医疗系统提取的数据。获得的数据包括人口统计学、临床表现和患者治疗情况。定量变量以均值和标准差描述，而定性变量以数字和百分比描述。采用曼-惠特尼U检验分析非参数变量，使用斯皮尔曼检验进行相关性分析。
45例急性憩室炎患者的中位年龄为53岁。28例（62.2%）为沙特阿拉伯人，27例（60%）为男性。大多数患者（n = 32，71.1%）仅患有左侧疾病，腹痛是最常报告的症状（n = 35，77.8%）。计算机断层扫描显示，21例（72.4%）患者患有欣奇伊分类IA期疾病。复发率为24.4%（N = 11）。4例患者需要30天再次入院（8.9%）。最常用的住院抗生素是甲硝唑，最常见的外科手术是哈特曼手术。30天死亡率为6.7%（n = 3）。
本研究发现急性憩室炎在男性中更为普遍，复发率高，主要见于左半结肠。大多数患者病情不复杂。鉴于沙特阿拉伯此前缺乏相关研究，未来的研究应包括基于人群的研究，以确定该国急性憩室炎的患病率、并发症和结局。
