Patients were enrolled if they had CT-proven, primary, left-sided, uncomplicated acute diverticulitis
(Hinchey stage la and lb).
The researchers found that the rate of hospital admission for recurrent acute diverticulitis
was 11.2 percent.
Overall, DD developed in 6 patients (4.2%): 4 patients developed acute diverticulitis
(2.8%), 1 (0.7%) had possible diverticular bleeding and one patient (0.7%) had both diverticular bleeding and acute diverticulitis
. N Engl J Med 1998;338:1521-6.
The reported prevalence from different Asian countries are: 12% in Korea,13 25% in Hong Kong,15 19% in Singapore and 23% in Japan.16 Uncomplicated acute diverticulitis
can be effectively managed conservatively on antibiotics and analgesia while giving the bowel some rest.
The study will help inform patients with diverticulosis--particularly those diagnosed at a younger age--and their physicians about the risks of developing acute diverticulitis
, said study senior author Brennan Spiegel, MD, an associate professor of medicine at UCLA Health System.
Fleming and P Gillen, "Reversal of Hartmann's procedure following acute diverticulitis
: is timing everything?" International Journal of Colorectal Disease, vol.
Based on whether inflammation was present or absent and, if present, whether it affected a diverticulum or away from it, the pathological diagnosis was classified into four categories: (1) acute diverticulitis
with normal appendix; (2) acute diverticulitis
with acute appendicitis; (3) diverticulosis with acute appendicitis; (4) diverticulosis.
The most common preoperative diagnoses were acute abdomen of uncertain origin: 12 (57.14%); acute diverticulitis
:5 (23.8%) and acute appendicitis: 4 (19.04%).
Role of colonoscopy in patients with persistent acute diverticulitis
. World J Gastroenterol 2008; 14:2763-6.
The Klebsiella isolate producing this enzyme was isolated from an abdominal pus swab from a 70-year-old patient, following a partial colectomy for acute diverticulitis
in a Pretoria hospital in 2010.
It also showed a non-obstructive bowel and diverticulosis without evidence of acute diverticulitis
or an abscess.