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Treatment in Right Colon Diverticulitis Patients

T

Tepecik Training and Research Hospital

Status

Completed

Conditions

Outcome

Treatments

Procedure: Failure conservative treatment
Other: Conservative treatment
Procedure: Surgery

Study type

Interventional

Funder types

Other

Identifiers

NCT04746326
2020 / 14-6

Details and patient eligibility

About

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.

Full description

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

Enrollment

26 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • diagnosed with right colon diverticulitis

Exclusion criteria

  • Left colon diverticulitis
  • Right colon diverticulitis detected incidentally
  • lacking data

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

26 participants in 2 patient groups

Conservative treatment
Other group
Description:
Conservative treatment stopping oral intake, intravenous antibiotic therapy.
Treatment:
Other: Conservative treatment
Operative treatment
Other group
Description:
Operative procedure Right hemicolectomy Wedge resection of cecum Diverticulectomy + appendectomy Diverticulectomy Appendectomy + drainage
Treatment:
Procedure: Failure conservative treatment
Procedure: Surgery

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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