We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Findings on Colonoscopy after Diverticulitis: A Multicenter Review.
- Authors
STUDNIAREK, ADAM; KOCHAR, KUNAL; WARNER, CHRISTINA; EFTAIHA, SALEH; NAFFOUJ, SANDRA; BORSUK, DANIEL J.; MELLGREN, ANDERS; PARK, JOHN J.; CINTRON, JOSE; HARRISON, JACQUELINE
- Abstract
Diverticular disease is a common problem where patients with diverticulosis have a 1-4 per cent risk of acute diverticulitis. Current guidelines recommend a colonoscopy after.the resolution of acute diverticulitis. The aim of this study was to evaluate the yield of significant findings on colonoscopy after an episode of diverticulitis. This is a retrospective analysis of patients who underwent colonoscopy after an episode of diverticulitis between November 2005 and August 2017 at three major teaching hospitals. Advanced adenomas were defined as adenomas ≥1 cm, serrated adenomas, and tubulovillous or villous adenomas. A total of 584 patients (298 males; 51%) underwent colonoscopy for a history of diverticulitis after resolution of acute symptoms. Colonoscopy was complete in 488 patients (84%). Among these 488 patients, 446 had diverticular disease, 31 had advanced adenomas, and four had adenocarcinomas. Colonoscopies were incomplete in 96 patients (16%). Forty-six of those patients underwent surgery. The overall incidence of advanced adenomas and adenocarcinomas was 32 (5.4%) and nine (1.5%), respectively. In our study, the prevalence of advanced adenomas and adenocarcinomas was relatively high compared with the average risk individuals. Our findings support that patients after an episode of diverticulitis should continue to get a colonoscopy.
- Subjects
DIVERTICULITIS; DIVERTICULOSIS; COLONOSCOPY; TEACHING hospitals; BOWEL preparation (Procedure); ADENOCARCINOMA; ADENOMA; COLON tumors; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; RESEARCH; EVALUATION research; RETROSPECTIVE studies
- Publication
American Surgeon, 2019, Vol 85, Issue 12, p1381
- ISSN
0003-1348
- Publication type
journal article
- DOI
10.1177/000313481908501233