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Original Articles
- Is Colonoscopy Necessary after Computed Tomography Diagnosis of Acute Diverticulitis?
- Min Jung Kim, Young Sik Woo, Eun Ran Kim, Sung Noh Hong, Dong Kyung Chang, Poong-Lyul Rhee, Jae J. Kim, Soon Jin Lee, Young-Ho Kim
- Intest Res 2014;12(3):221-228. Published online July 25, 2014
- DOI: https://doi.org/10.5217/ir.2014.12.3.221
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Abstract
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ePub <b>Background/Aims</b><br/> A diagnosis of acute diverticulitis is based on computed tomography (CT). Colonoscopy is commonly performed after the acute event to exclude other diagnoses. This study aimed to determine whether colonoscopy is necessary and what additional information is gained from a colonoscopy after acute diverticulitis.
Methods Acute diverticulitis was diagnosed by clinical criteria and characteristic CT findings. We analyzed the number of patients in whom colorectal cancers were diagnosed and other incidental findings of polyps and other diseases.
Results A total of 177 patients were analyzed retrospectively. The mean age was 43.3±15.3 years (range, 13-82 years) and 97 patients (54.8%) were male. Sixty-one patients had undergone a colonoscopy within 1 year of the acute attack. Advanced adenomatous lesions and colonic malignancy were not detected. Nineteen patients (31.1%) had ≥1 polyp and 11 patients (18.0%) had an adenomatous polyp. No new or different diagnosis was made after colonoscopy. None of the 116 patients who did not undergo colonoscopy within a year after acute diverticulitis had a diagnosis of colorectal cancer registered with the Korea Central Cancer Registry.
Conclusions Routine colonoscopy yields little benefit in patients with acute diverticulitis diagnosed by typical clinical symptoms and CT. The current practice of a colonoscopy after acute diverticulitis needs to be reevaluated.
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Citations
Citations to this article as recorded by
- Endoscopic findings after CT proven acute diverticulitis: a systematic review and meta‐analysis
Amy Millicent Yesheng Cao, Vincent Wai Lam, Matthew John Francis Xavier Rickard
ANZ Journal of Surgery.2023; 93(5): 1150. CrossRef - Infection or Inflammation: Are Uncomplicated Acute Appendicitis, Acute Cholecystitis, and Acute Diverticulitis Infectious Diseases?
Philip S. Barie, Lillian S. Kao, Mikayla Moody, Robert G. Sawyer
Surgical Infections.2023; 24(2): 99. CrossRef - Risk for colorectal cancer after computed tomography verified acute diverticulitis: A retrospective cohort study with long-term follow-up
Leena-Mari Mäntymäki, Juha Grönroos, Markus Riskumäki, Tero Vahlberg, Jukka Karvonen
Scandinavian Journal of Surgery.2023; 112(3): 157. CrossRef - Diagnosis and management of acute colonic diverticulitis: results of a survey among Korean gastroenterologists
Jae Gon Lee, Yong Eun Park, Ji Young Chang, Hyun Joo Song, Duk Hwan Kim, Young Joo Yang, Byung Chang Kim, Shin Hee Lee, Myung-Won You, Seong-Eun Kim
The Korean Journal of Internal Medicine.2023; 38(5): 672. CrossRef - Comparative outcomes of acute colonic diverticulitis in immunocompromised versus immunocompetent patients: a systematic review and meta-analysis
Jae Gon Lee, Yong Eun Park, Ji Young Chang, Hyun Joo Song, Duk Hwan Kim, Young Joo Yang, Byung Chang Kim, Shin Hee Lee, Myung-Won You, Seong-Eun Kim
Intestinal Research.2023; 21(4): 481. CrossRef - Diagnosis and Treatment of Colonic Diverticular Disease
You Sun Kim
The Korean Journal of Gastroenterology.2022; 79(6): 233. CrossRef - Diverticulitis does not increase the long-term risk of developing colon cancer: a systematic review and meta-analysis
Laura Quitzau Mortensen, Jens Buciek, Kristoffer Andresen, Jacob Rosenberg
International Journal of Colorectal Disease.2022; 37(9): 1945. CrossRef - Acute complicated diverticulitis is associated with an increased advanced neoplasia diagnosis rate
Fadi Abu Baker, Mohanad Ganayem, Amir Mari, Randa Taher, Mohamad Suki, Yael Kopelman
Medicine.2021; 100(5): e24271. CrossRef - Systematic Review and Meta-analysis on Colorectal Cancer Findings on Colonic Evaluation After CT-Confirmed Acute Diverticulitis
Chee Hoe Koo, Jasmine H.E. Chang, Nicholas L. Syn, Ian J.Y. Wee, Ronnie Mathew
Diseases of the Colon & Rectum.2020; 63(5): 701. CrossRef - Risk of Colorectal Cancer in Patients With Acute Diverticulitis: A Systematic Review and Meta-analysis of Observational Studies
Jeremy Meyer, Lorenzo A. Orci, Christophe Combescure, Alexandre Balaphas, Philippe Morel, Nicolas C. Buchs, Frédéric Ris
Clinical Gastroenterology and Hepatology.2019; 17(8): 1448. CrossRef - What radiologists should know about tomographic evaluation of acute diverticulitis of the colon
Aline de Araújo Naves, Giuseppe D'Ippolito, Luis Ronan Marquez Ferreira Souza, Sílvia Portela Borges, Glênio Moraes Fernandes
Radiologia Brasileira.2017; 50(2): 126. CrossRef - High Probability of an Underlying Colorectal Cancer Among Patients Treated for Acute Diverticulitis. A Population‐Based Cohort Follow‐Up Study
Carl Johan Grahnat, Sebastian Hérard, Annicka Ackzell, Roland E. Andersson
World Journal of Surgery.2016; 40(9): 2283. CrossRef - Colonoscopy after Hinchey I and II left-sided diverticulitis: utility or futility?
Avery S. Walker, Jason R. Bingham, Karmon M. Janssen, Eric K. Johnson, Justin A. Maykel, Omar Ocampo, John P. Gonzalez, Scott R. Steele
The American Journal of Surgery.2016; 212(5): 837. CrossRef
- Endoscopic findings after CT proven acute diverticulitis: a systematic review and meta‐analysis
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- The Effectiveness of Audiovisual Aids Education in Preparing Patients for Colonoscopy
- Byung Hoon Min, Dong Kyung Chang, Young Ho Kim, Poong-Lyul Rhee, Jae J. Kim, Jong Chul Rhee
- Published online June 30, 2007
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Abstract
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- Background/Aims
The purpose of this study is to investigate how effectively audiovisual aids education can improve patients' bowel preparation and their satisfaction during colonoscopic examination. Methods: The control group consisted of 116 patients and the experimental group consisted of 109 patients. The control group was given the existing test guidebooks and the experimental group was offered audiovisual aids education immediately before the test. After the test, the patients assessed. Results: In regard to the organization and consistency of colonoscopic education, the experimental group showed a statistically significant score (p=0.000). In regard to satisfaction with the colonoscopy, the average score of the control group was 7.50⁑2.02, while that of the experimental group was 8.63⁑1.76 (p=0.000). In regard to bowel preparation, the experimental group showed a statistically meaningful score compared to that of the control group (p=0.002). In terms of examination time comparison, the experimental group returned a statistically meaningful score (p=0.005). In regard to the nurses' task satisfaction, according to the information offered, the experimental group showed a statistically significant score (8.47⁑1.32) compared to the control group (6.49⁑2.23)(p=0.000). Conclusions: The audiovisual aids education enhanced the patients' satisfaction. Therefore these aids are worth incorporating within nursing methods. (Intest Res 2007;5:52-59)
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- 34 Download
Case Report
- A Case of C1 Esterase Inhibitor Deficiency Presenting as Recurrent Abdominal Pain and Ascites
- Byung Hoon Min, Dong Kyung Chang, Young Ho Kim, Poong-Lyul Rhee, Jae J. Kim, Jong Chul Rhee
- Published online June 30, 2007
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Abstract
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- C1 esterase inhibitor deficiency is a disorder resulting from a qualitative or functional defect of the C1 esterase inhibitor. It is characterized by recurrent episodes of subcutaneous and submucosal swellings in any part of the skin and the respiratory and gastrointestinal tracts. Gastrointestinal symptoms such as abdominal pain are the dominant symptoms in about 25% of cases and sometimes make this condition misunderstood as surgical emergency, especially when ascites is accompanied. We experienced a case of C1 esterase inhibitor deficiency in a 35-year-old woman presenting with recurrent abdominal pain, ascites, and lower extremities edema. Her symptoms first occurred 8 years ago, and used to spontaneously resolve within 3 days. In laboratory finding, serum C4 and serum C1 esterase inhibitor showed reduced level of 3.2 mg/dL and 5 mg/dL, respectively. After treatment with danazol and tranexamic acid, no more recurrence of symptoms was observed during 2 months of follow-up period. (Intest Res 2007;5:73-76)
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- 20 Download
Original Article
- The Different Colonoscopic Manifestations of Primary Colorectal Lymphomas by Their Cellular Origin
- Won Hyeok Choe, Young-Ho Kim, Beom Jin Kim, Jae Uk Lee, Jun Haeng Lee, Hee Jung Son, Poong-Lyul Rhee, Jae J. Kim, Seung Woon Paik, Jong Chul Rhee, Young Hyeh Ko, Woo Yong Lee, Ho kyung Chun
- Intest Res 2003;1(1):22-30. Published online May 27, 2003
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Abstract
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- Background/Aims
There were few reports of primary colorectal lymphoma mainly focusing on the colonoscopic findings. The aim of this study was to review the colonoscopic findings and clinical characteristics of primary colorectal lymphomas by their cellular origin. Methods: Clinical information was retrospectively obtained from 18 cases with primary colorectal lymphoma from January 1994 to December 2001. The extent of disease was defined as focal or diffuse. Colonoscopic images were reviewed and classified into superficial, ulcerative, ulceroinfiltrative, and fungating types. Results: The study included thirteen men and five women, with a mean age of 48.6±13.3 years at disease onset. The most common presenting symptom was abdominal pain and the most frequent involvement was cecum. The endoscopic type was fungating in 6 cases, ulceroinfiltrative in 5 cases, ulcerative in 5 cases, and superficial in 2 cases. The lymphomas were B-cell lineage in 13 cases and T-cell lineage in 5 cases. Between B-cell and T-cell lymphomas, there was no statistically significant difference in age, gender, and the stage of the disease. All B-cell lymphomas were focally located, whereas 80% of T-cell lymphomas were diffuse (p=0.002). T-cell lymphomas were classified as ulcerative type in four cases and superficial type in one case. On the other hand, the most common colonoscopic feature of primary B-cell colorectal lymphoma was the fungating type (p=0.009). Conclusions: We found that primary colorectal lymphomas have different colonoscopic features by their cellular origin. (Intestinal Research 2003;1:22-30)
- 1,640 View
- 27 Download
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