Early Discharge Policy of Patients with Acute Colonic Diverticulitis Following Initial CT Scan

Overview

Journal Int J Colorectal Dis

Specialties Gastroenterology
General Surgery

Date 2008 Apr 30

PMID 18443803

Citations 13

Authors

Osama Al-Sahaf

Dhafir Al-Azawi

Muhammad Z Fauzi

Sherif El-Masry

P Gillen

Affiliations

Soon will be listed here.

Abstract

Introduction: Diverticulitis develops in 15-20% of individuals with diverticulosis. Severity ranges from mild to severe. Mild diverticulitis is uncomplicated confined per colonic inflammation commonly treated conservatively. Recent literature suggests it could be managed in an outpatient setup.

Aims: To determine if patients with mild acute colonic diverticulitis (ACD) on early CT scan can be treated and discharged at an early time.

Methodology: Retrospective review of patient's charts admitted during 2005 with ACD confirmed by CT scan performed within 24 h of admission. Severity of ACD was determined according to CT classification.

Results: Forty-two (31 women, 11 men) patients included, mean age 66 years, CT severity classification: 61.9% mild, 7.1% moderate, and 31.0% severe diverticulitis. Patients with mild ACD were discharged safely, had no recurrence of their symptoms, and needed no readmission within 6 months of follow-up.

Conclusion: Patients with mild ACD on CT scan performed within 24 h could be safely discharged and treated according to protocols of outpatient management of diverticulitis.

Citing Articles

Is the outpatient management of acute diverticulitis safe and effective? A systematic review and meta-analysis.

Cirocchi R, Randolph J, Binda G, Gioia S, Henry B, Tomaszewski K Tech Coloproctol. 2019; 23(2):87-100.

PMID: 30684110 DOI: 10.1007/s10151-018-1919-6.

Colorectal surgeon consensus with diverticulitis clinical practice guidelines.

Siddiqui J, Zahid A, Hong J, Young C World J Gastrointest Surg. 2017; 9(11):224-232.

PMID: 29225733 PMC: 5714804. DOI: 10.4240/wjgs.v9.i11.224.

Uncomplicated Acute Diverticulitis: Identifying Risk Factors for Severe Outcomes.

Jaung R, Kularatna M, Robertson J, Vather R, Rowbotham D, MacCormick A World J Surg. 2017; 41(9):2258-2265.

PMID: 28401253 DOI: 10.1007/s00268-017-4012-9.

Systematic review: outpatient management of acute uncomplicated diverticulitis.

Jackson J, Hammond T Int J Colorectal Dis. 2014; 29(7):775-81.

PMID: 24859874 DOI: 10.1007/s00384-014-1900-4.

[What is the actual benefit of sigmoid resection for acute diverticulitis? : Functional outcome after surgical and conservative treatment].

Ritz J, Grone J, Engelmann S, Lehmann K, Buhr H, Holmer C Chirurg. 2013; 84(8):673-80.

PMID: 23519381 DOI: 10.1007/s00104-013-2485-0.

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