Treatment in Right Colon Diverticulitis Patients

Study Overview
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Brief Summary
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The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy.

Detailed Description
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The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Here, we aimed to discuss the results of conservative and surgical treatment for right colon diverticulitis in the light of the literature. 150 patients treated for colon diverticulitis between 2015-2020 were retrospectively screened. Right colon diverticulitis detected incidentally, missing data, and left colon diverticulitis were excluded from the study. Data of a total of 26 patients were accessed. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy

Official Title
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Operative and Conservative Treatment in Right Colon Diverticulitis Patients

Conditions
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Outcome

Intervention / Treatment
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* Procedure: Failure conservative treatment
* Procedure: Surgery
* Other: Conservative treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosed with right colon diverticulitis Exclusion Criteria: Left colon diverticulitis Right colon diverticulitis detected incidentally lacking data
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Conservative treatment, Operative treatment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Conservative treatment<br>Conservative treatment stopping oral intake, intravenous antibiotic therapy. | Other: Conservative treatment<br>* Conservative treatment was performed in patients who had no generalized peritonitis and perforation.<br>|
| Other: Operative treatment<br>Operative procedure Right hemicolectomy Wedge resection of cecum Diverticulectomy + appendectomy Diverticulectomy Appendectomy + drainage | Procedure: Failure conservative treatment<br>* Surgery was performed in patients who failed conservative treatment.<br>Procedure: Surgery<br>* Surgery was performed in patients who had generalized peritonitis and perforation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants with mortality | mortality | up to 24 weeks | 
| Number of Participants with wound infection | wound infection | up to 24 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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diverticulum, surgery, appendicitis, sigmoid volvulus, caecum, diverticulitis