Treatment in Right Colon Diverticulitis Patients

NCT ID: NCT04746326

Last Updated: 2021-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-01

Study Completion Date

2021-01-20

Brief Summary

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The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy.

Detailed Description

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The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Here, we aimed to discuss the results of conservative and surgical treatment for right colon diverticulitis in the light of the literature. 150 patients treated for colon diverticulitis between 2015-2020 were retrospectively screened. Right colon diverticulitis detected incidentally, missing data, and left colon diverticulitis were excluded from the study. Data of a total of 26 patients were accessed. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy

Conditions

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Outcome

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Conservative treatment, Operative treatment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conservative treatment

Conservative treatment stopping oral intake, intravenous antibiotic therapy.

Group Type OTHER

Conservative treatment

Intervention Type OTHER

Conservative treatment was performed in patients who had no generalized peritonitis and perforation.

Operative treatment

Operative procedure Right hemicolectomy Wedge resection of cecum Diverticulectomy + appendectomy Diverticulectomy Appendectomy + drainage

Group Type OTHER

Failure conservative treatment

Intervention Type PROCEDURE

Surgery was performed in patients who failed conservative treatment.

Surgery

Intervention Type PROCEDURE

Surgery was performed in patients who had generalized peritonitis and perforation.

Interventions

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Failure conservative treatment

Surgery was performed in patients who failed conservative treatment.

Intervention Type PROCEDURE

Surgery

Surgery was performed in patients who had generalized peritonitis and perforation.

Intervention Type PROCEDURE

Conservative treatment

Conservative treatment was performed in patients who had no generalized peritonitis and perforation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* diagnosed with right colon diverticulitis

Exclusion Criteria

* Left colon diverticulitis
* Right colon diverticulitis detected incidentally
* lacking data
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tepecik Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Semra Demirli Atici

Primary investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Tepecik Training and Research Hospital

Izmir, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2020 / 14-6

Identifier Type: -

Identifier Source: org_study_id

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