Unexpected Diagnosis in Right Lower Quadrant Pain: Right Colon Diverticulitis

NCT ID: NCT06153030

Last Updated: 2023-12-01

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

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-01

Study Completion Date

2023-06-15

Brief Summary

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BACKGROUND: Acute right lower quadrant pain is a common symptom in emergency departments. The most common etiology is thought to be acute appendicitis. Other etiologies may be overlooked. Acute right colon diverticulitis is one of them. It is usually seen in male and young patients. It is more common in Asian population and rare in Western countries. Ultrasonography (USG) and computed tomography (CT) are used for radiologic diagnosis.

OBJECTIVES: The aim of this study was to investigate the diagnosis, treatment and surgical management of right colon diverticulitis.

Detailed Description

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DESIGN: Retrospective cross-sectional analysis SETTING: Research and training hospital (Tertiary care center) In our study, patients hospitalized in our hospital clinic between 2018 and 2022 with the diagnosis of right colon diverticulitis were retrospectively analyzed. Age, gender, WSES grade, whether surgery was performed or not, laboratory values, iv antibiotherapies given, length of hospitalization and mortality were evaluated.

MAIN OUTCOME MEASURES: The CRP, the need for surgical intervention vs conservative treatment .

Conditions

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Diverticulitis, Colonic

Keywords

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acute diverticulitis right colon emergency pain

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Patient with right colonic diverticulitis

no intervention

Intervention Type OTHER

No intervention

Interventions

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no intervention

No intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients diagnosed with right colonic diverticulitis

Exclusion Criteria

* \<18 years of age
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Haydarpasa Numune Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Naz Tayyar

Resident Medical Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Haydarpasa Numune Training and Research Hospital

Üsküdar, Istanbul, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Turner GA, O'Grady MJ, Purcell RV, Frizelle FA. The Epidemiology and Etiology of Right-Sided Colonic Diverticulosis: A Review. Ann Coloproctol. 2021 Aug;37(4):196-203. doi: 10.3393/ac.2021.00192.0027. Epub 2021 Jul 21.

Reference Type BACKGROUND
PMID: 34284562 (View on PubMed)

Papatriantafyllou A, Dedopoulou P, Soukouli K, Karioris I, Tsochatzis S. Right-Sided Diverticulitis: A Rare Cause of Right-Sided Abdominal Pain. Cureus. 2023 Apr 4;15(4):e37123. doi: 10.7759/cureus.37123. eCollection 2023 Apr.

Reference Type BACKGROUND
PMID: 37153306 (View on PubMed)

Ma Z, Liu W, Zhou J, Yao L, Xie W, Su M, Yang J, Shao J, Chen J. Management and long-term outcomes of acute right colonic diverticulitis and risk factors of recurrence. BMC Surg. 2022 Apr 7;22(1):132. doi: 10.1186/s12893-022-01578-z.

Reference Type BACKGROUND
PMID: 35392887 (View on PubMed)

Kahveci S, Tokmak TT, Yildirim A, Mavili E. Acute right-sided colonic diverticulitis mimicking appendicitis: a report of two cases. J Clin Ultrasound. 2013 May;41(4):238-41. doi: 10.1002/jcu.21967. Epub 2012 Aug 1.

Reference Type BACKGROUND
PMID: 22855407 (View on PubMed)

Shin JH, Son BH, Kim H. Clinically distinguishing between appendicitis and right-sided colonic diverticulitis at initial presentation. Yonsei Med J. 2007 Jun 30;48(3):511-6. doi: 10.3349/ymj.2007.48.3.511.

Reference Type BACKGROUND
PMID: 17594161 (View on PubMed)

Lee JH, Ahn BK, Lee KH. Conservative treatment of uncomplicated right-sided diverticulitis: a systematic review and meta-analysis. Int J Colorectal Dis. 2021 Aug;36(8):1791-1799. doi: 10.1007/s00384-021-03913-x. Epub 2021 Mar 25.

Reference Type BACKGROUND
PMID: 33765173 (View on PubMed)

Park SM, Kwon TS, Kim DJ, Lee YS, Cheung DY, Oh ST, Kim JG, Lee IK. Prediction and management of recurrent right colon diverticulitis. Int J Colorectal Dis. 2014 Nov;29(11):1355-60. doi: 10.1007/s00384-014-1938-3. Epub 2014 Jul 6.

Reference Type BACKGROUND
PMID: 24997717 (View on PubMed)

Park HC, Kim BS, Lee K, Kim MJ, Lee BH. Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack. Int J Colorectal Dis. 2014 Oct;29(10):1217-22. doi: 10.1007/s00384-014-1941-8. Epub 2014 Jul 1.

Reference Type BACKGROUND
PMID: 24980689 (View on PubMed)

Kim YC, Chung JW, Baek JH, Lee WS, Kim D, Park YH, Yang JY, Lee WK. Risk Factors for Recurrence of Right Colonic Diverticulitis. Dig Surg. 2019;36(6):509-513. doi: 10.1159/000494297. Epub 2018 Nov 8.

Reference Type BACKGROUND
PMID: 30408791 (View on PubMed)

Kim MR, Kye BH, Kim HJ, Cho HM, Oh ST, Kim JG. Treatment of right colonic diverticulitis: the role of nonoperative treatment. J Korean Soc Coloproctol. 2010 Dec;26(6):402-6. doi: 10.3393/jksc.2010.26.6.402. Epub 2010 Dec 31.

Reference Type BACKGROUND
PMID: 21221240 (View on PubMed)

Lee KY, Lee J, Park YY, Oh ST. Routine colonoscopy may be needed for uncomplicated acute right colonic diverticulitis. BMC Gastroenterol. 2021 Feb 27;21(1):91. doi: 10.1186/s12876-021-01672-1.

Reference Type BACKGROUND
PMID: 33639847 (View on PubMed)

Huang SS, Sung CW, Wang HP, Lien WC. The outcomes of right-sided and left-sided colonic diverticulitis following non-operative management: a systematic review and meta-analysis. World J Emerg Surg. 2022 Nov 1;17(1):56. doi: 10.1186/s13017-022-00463-7.

Reference Type RESULT
PMID: 36320045 (View on PubMed)

Palacios Huatuco RM, Pantoja Pachajoa DA, Liano JE, Picon Molina HA, Palencia R, Doniquian AM, Parodi M. Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina. Ann Coloproctol. 2023 Apr;39(2):123-130. doi: 10.3393/ac.2021.00402.0057. Epub 2021 Nov 24.

Reference Type RESULT
PMID: 34814235 (View on PubMed)

Oh MY, Shin R, Heo SC, Lim HK, Kim MJ, Park JW, Ryoo SB, Jeong SY, Park KJ. Investigation of the clinical features and recurrence patterns of acute right-sided colonic diverticulitis: A retrospective cohort study. Ann Med Surg (Lond). 2022 Aug 18;81:104431. doi: 10.1016/j.amsu.2022.104431. eCollection 2022 Sep.

Reference Type RESULT
PMID: 36147058 (View on PubMed)

Rov A, Ben-Ari A, Barlev E, Pelcman D, Susmalian S, Paran H. Right-sided diverticulitis in a Western population. Int J Colorectal Dis. 2022 Jun;37(6):1251-1256. doi: 10.1007/s00384-022-04135-5. Epub 2022 May 4.

Reference Type RESULT
PMID: 35505198 (View on PubMed)

Other Identifiers

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Haydarpasa Numune Training and

Identifier Type: -

Identifier Source: org_study_id