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Conference Paper: A 10-year comparison of right versus left colonic diverticulitis in an Asian center

TitleA 10-year comparison of right versus left colonic diverticulitis in an Asian center
Authors
Issue Date2018
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGH
Citation
Asian Pacific Digestive Week 2018 in conjunction with 2nd Korea Digestive Disease Week (APDW-KDDW), Seoul, Korea, 15-18 November 2018. In Journal of Gastroenterology and Hepatology, 2018, v. 33 n. Suppl. 4, p. 524 How to Cite?
AbstractBackground and Aim: The incidence of right-sided diverticulitis is much higher in Asians compared to Caucasians. The aim of this study was to determine and compare the outcome of right colonic diverticulitis with those of left-sided disease. Methods: Retrospective review of patients admitted with diverticulitis from 2004 to 2014 to a tertiary referral unit. Patient demographics, Hinchey classification, need for emergency surgery, and perioperative outcome were analysed and compared. Results: In total 360 patients presented with diverticulitis, of which 260 (72%) were right-sided disease. The mean age was 61 years, 159 (44.2%) patients were male; 201 (55.8%) were female. All patients complained of abdominal pain while leukocytosis and fever were present in 73% and 36% of patients, respectively. The mean hospital stay was 9.4 days. The majority of patients (93%) were Hinchey grade I and II. There was no significant difference in sex, Hinchey class, or the need for emergency surgery between the 2 groups. One hundred patients (28%) underwent emergency surgery. Sixty-seven (25.7%) right-sided patients required emergency surgery; however, 54 (81%) of these were based on a presumptive clinical diagnosis of acute appendicitis. Postoperative morbidity was significantly higher in left-sided diverticulitis (70.6% vs 29.4%, P = 0.001). There was no significant difference in operative mortality. Conclusion: Right-sided diverticulitis is an important clinical diagnosis in the Asian population. Clinical presentation can often mimic acute appendicitis. When emergency surgery is required, right-sided diverticulitis is associated with a lower operative morbidity compared to left-sided disease.
DescriptionAPDW 2018 E-poster Exhibitions – Lower GI - no. EE-0321 (PE-0643)
Persistent Identifierhttp://hdl.handle.net/10722/268347
ISSN
2017 Impact Factor: 3.483
2015 SCImago Journal Rankings: 1.190

 

DC FieldValueLanguage
dc.contributor.authorTsang, J-
dc.contributor.authorFoo, CC-
dc.contributor.authorYip, J-
dc.contributor.authorChoi, HK-
dc.contributor.authorWei, R-
dc.contributor.authorNg, KK-
dc.contributor.authorLo, OSH-
dc.contributor.authorLaw, WL-
dc.date.accessioned2019-03-18T04:23:41Z-
dc.date.available2019-03-18T04:23:41Z-
dc.date.issued2018-
dc.identifier.citationAsian Pacific Digestive Week 2018 in conjunction with 2nd Korea Digestive Disease Week (APDW-KDDW), Seoul, Korea, 15-18 November 2018. In Journal of Gastroenterology and Hepatology, 2018, v. 33 n. Suppl. 4, p. 524-
dc.identifier.issn0815-9319-
dc.identifier.urihttp://hdl.handle.net/10722/268347-
dc.descriptionAPDW 2018 E-poster Exhibitions – Lower GI - no. EE-0321 (PE-0643)-
dc.description.abstractBackground and Aim: The incidence of right-sided diverticulitis is much higher in Asians compared to Caucasians. The aim of this study was to determine and compare the outcome of right colonic diverticulitis with those of left-sided disease. Methods: Retrospective review of patients admitted with diverticulitis from 2004 to 2014 to a tertiary referral unit. Patient demographics, Hinchey classification, need for emergency surgery, and perioperative outcome were analysed and compared. Results: In total 360 patients presented with diverticulitis, of which 260 (72%) were right-sided disease. The mean age was 61 years, 159 (44.2%) patients were male; 201 (55.8%) were female. All patients complained of abdominal pain while leukocytosis and fever were present in 73% and 36% of patients, respectively. The mean hospital stay was 9.4 days. The majority of patients (93%) were Hinchey grade I and II. There was no significant difference in sex, Hinchey class, or the need for emergency surgery between the 2 groups. One hundred patients (28%) underwent emergency surgery. Sixty-seven (25.7%) right-sided patients required emergency surgery; however, 54 (81%) of these were based on a presumptive clinical diagnosis of acute appendicitis. Postoperative morbidity was significantly higher in left-sided diverticulitis (70.6% vs 29.4%, P = 0.001). There was no significant difference in operative mortality. Conclusion: Right-sided diverticulitis is an important clinical diagnosis in the Asian population. Clinical presentation can often mimic acute appendicitis. When emergency surgery is required, right-sided diverticulitis is associated with a lower operative morbidity compared to left-sided disease.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGH-
dc.relation.ispartofAsia Pacific Digestive Week APDW 2018-
dc.relation.ispartofJournal of Gastroenterology and Hepatology-
dc.titleA 10-year comparison of right versus left colonic diverticulitis in an Asian center-
dc.typeConference_Paper-
dc.identifier.emailFoo, CC: ccfoo@hku.hk-
dc.identifier.emailYip, J: yipjeremy@hku.hk-
dc.identifier.emailChoi, HK: hkchoi@hkucc.hku.hk-
dc.identifier.emailWei, R: rwei@hku.hk-
dc.identifier.emailNg, KK: ngkakin@hku.hk-
dc.identifier.emailLo, OSH: oswens@hku.hk-
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hk-
dc.identifier.authorityFoo, CC=rp01899-
dc.identifier.authorityYip, J=rp02304-
dc.identifier.authorityLaw, WL=rp00436-
dc.identifier.hkuros297068-
dc.identifier.volume33-
dc.identifier.issueSuppl. 4-
dc.identifier.spage524-
dc.identifier.epage524-
dc.publisher.placeAustralia-

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