1Department of General Surgery, Sandwell & West Birmingham Hospitals NHS Trust, Sandwell General Hospital, West Bromwich, UK.
2Nurse Consultant and Clinical Lead for Endoscopy at City Hospital Endoscopy Unit, Sandwell & West Birmingham Hospitals NHS Trust, Birmingham City Hospital, Birmingham, UK.
3Department of Gastroenterology, Sandwell & West Birmingham Hospitals NHS Trust, Sandwell General Hospital, West Bromwich, UK.
4Department of General Surgery, University Hospitals Coventry & Warwickshire NHS Trust, Walsgrave, UK.
© Copyright 2017. Korean Association for the Study of Intestinal Diseases.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Patient management | Length of stay (day) | Mortality | |
---|---|---|---|
Medical management only | 183 (78) | 4 (3−6) | 10 (4.3) |
Interventional radiology | 4 (2) | 8 (5−12) | 0 |
Laparoscopy and lavage | 4 (2) | 12 (10−14) | 1 (0.4) |
Hartmann's procedure | 24 (10) | 13 (8−20) | 1 (0.4) |
Other operative procedure | 7 (3) | 10 (8−25) | 0 |
Unknown | 13 (6) | - | 0 |
Total | 235 (100) | - | 12 (5.1) |
Values are presented as number (%) or median (IQR).
Stage | CT confident of diverticulitis diagnosis | Method of CRC diagnosis |
---|---|---|
T4N2M0 | No | Diagnosed on follow-up endoscopy |
T3N1M0 | Yes | Surgery during index admission |
T4N0M0 | No | Follow-up CT demonstrated failure of inflammatory changes to resolve |
M1 | No | Follow-up CT demonstrated liver metastases with primary sigmoid neoplasm |
T3N2M0 | No | Surgery during index admission |
CRC, colorectal cancer.
No. (%) | |
---|---|
Endoscopy findings | |
Normal examination | 19 (19) |
Diverticulosis | 75 (75) |
Stricture | 2 (2) |
IBD | 3 (3) |
Polyps | 14 (14) |
Malignancy | 1 (1) |
Polyp details | |
Hyperplastic | 4 (27) |
Inflammatory | 2 (14) |
Low-grade adenoma | 8 (57) |
High-grade adenoma | 0 |
Total | 14 (100) |
Diverticulitis patients | Control patients | P-value | |||||
---|---|---|---|---|---|---|---|
No | Yes | Unknown | No | Yes | Unknown | ||
Colonoscopies | |||||||
Moderate-to-severe pain | 16 (53) | 10 (13) | 4 (33) | 8,184 (50) | 1,309 (8) | 6,958 (42) | 0.630 |
Complete procedure | 2 (7) | 28 (93) | 0 | 1,385 (8) | 15,066 (92) | 0 | 0.990 |
Duration (min) | 22 (14–33) | 27 (19–37) | 0.060 | ||||
Flexible sigmoidoscopies | |||||||
Moderate-to-severe pain | 9 (14) | 20 (31) | 36 (55) | 1,577 (17) | 1,230 (14) | 6,297 (69) | 0.010 |
Complete procedure | 28 (43) | 37 (57) | 0 | 2,478 (27) | 6,626 (73) | 0 | 0.006 |
Duration (min) | 13 (9–18) | 11 (8–16) | <0.050 |
Values are presented number (%) or median (IQR).
Values are presented as number (%) or median (IQR).
CRC, colorectal cancer.
Values are presented number (%) or median (IQR).