Diverticulitis in the young patient-Is it different?

被引:0
作者
Adi Lahat
Yoram Menachem
Benjamin Avidan
Henit Yanai
Emad Sakhnini
Eytan Bardan
Simon Bar-Meir
机构
[1] Department of Gastroenterology Chaim Sheba Medical Center and Sackler School of Medicine
[2] Israel
[3] Tel Aviv University
关键词
Diverticulitis; Young patient; Complications; Sigmoidectomy;
D O I
暂无
中图分类号
R656.7 [小肠];
学科分类号
1002 ; 100210 ;
摘要
AIM: To prospectively study the incidence and the natural history of acute diverticulitis in young patients. METHODS: A total of 207 patients hospitalized at our hospital between January 2000 to February 2005 with the diagnosis of acute diverticulitis were included. Their demographic characteristics, medical history, physical, radiographic and endoscopic findings as well as therapy were recorded. Patients were followed every 6 mo for the first year and later annually. RESULTS: The mean patients’ age was 61 (range 27-92) years. Twenty- five patients (12%) were younger than 45 years. Acute diverticulitis was significantly more prevalent among male in the young age group as compared to the older age group (19/25, 76% vs 61/182, 33%, respectively, P = 0.0001). Complications occurred more often in the young age group; 32% vs 13%, (P = 0.002). During follow-up, 6 patients (28%) remained asymptomatic in the young age group as compared to 87 patients (55%) in the older age group (P = 0.024). As a result, sigmoidectomies were performed twice as often in the young age group (38% vs 13%, P = 0.002). CONCLUSION: Diverticulitis in young patients has a male predominance, a more aggressive course with a higher rate of complications and a higher recurrence rate. An earlier surgical approach might be considered in young patients with acute diverticulitis.
引用
收藏
页码:2932 / 2935
页数:4
相关论文
共 50 条
[41]   Failure of a meta-analysis on the role of elective surgery for left colonic diverticulitis in young patients [J].
Slim, K. ;
Raspado, O. ;
Brugere, C. ;
Lanay-Savary, M. V. ;
Chipponi, J. .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2008, 23 (07) :665-667
[42]   Failure of a meta-analysis on the role of elective surgery for left colonic diverticulitis in young patients [J].
K. Slim ;
O. Raspado ;
C. Brugère ;
M. V. Lanay-Savary ;
J. Chipponi .
International Journal of Colorectal Disease, 2008, 23 :665-667
[43]   Right colon, sigmoid colon, and transverse colon diverticulitis in the same patient: Report of a case [J].
Greenwald, M ;
Nussbaum, T .
DISEASES OF THE COLON & RECTUM, 2005, 48 (01) :162-166
[44]   Recurrent Retroperitoneal Abscess Due to Perforated Colonic Diverticulitis in a Patient with Polycystic Kidney Disease [J].
Li, Szu-Yuan ;
Jiang, Jeng-Kei ;
Chang, Yen-Hwa ;
Wu, Te-Chang ;
Yang, Wu-Chang ;
Ng, Yee-Yung .
JOURNAL OF THE CHINESE MEDICAL ASSOCIATION, 2009, 72 (03) :153-155
[45]   Acute Perforated Appendicitis Associated with Appendiceal Diverticulitis in a Young Man: A Case Report with Literature Review [J].
Abdulmomen, Abdulrahim Ahmed ;
AlZahrani, Anwar Saeed ;
Al Mulla, Liqa Abdulrahman ;
Alaqeel, Faten Othman .
AMERICAN JOURNAL OF CASE REPORTS, 2022, 23
[46]   Short communication: first case of bacteraemia caused by Dielma fastidiosa in a patient hospitalized with diverticulitis [J].
Forman-Ankjaer, Barbara ;
Hvid-Jensen, Frederik ;
Kobel, Carl Mathias ;
Greve, Thomas .
APMIS, 2024, 132 (02) :130-133
[47]   Osteopontin expression in ulcerative colitis is distinctly different from that in Crohn’s disease and diverticulitis [J].
Hideki Masuda ;
Yasuo Takahashi ;
Satoshi Asai ;
Akihiro Hemmi ;
Tadatoshi Takayama .
Journal of Gastroenterology, 2005, 40 :409-413
[48]   Osteopontin expression in ulcerative colitis is distinctly different from that in Crohn's disease and diverticulitis [J].
Masuda, H ;
Takahashi, Y ;
Asai, S ;
Hemmi, A ;
Takayama, T .
JOURNAL OF GASTROENTEROLOGY, 2005, 40 (04) :409-413
[49]   Presentation and Treatment Outcome of Diverticulitis in Younger Adults: A Different Disease Than in Older Patients? [J].
Kotzampassakis, N. ;
Pittet, O. ;
Schmidt, S. ;
Denys, A. ;
Demartines, N. ;
Calmes, J. M. .
DISEASES OF THE COLON & RECTUM, 2010, 53 (03) :333-338
[50]   The Place of Elective Surgery Following Acute Diverticulitis in Young Patients: When is Surgery Indicated? An Analysis of the Literature [J].
Janes, Simon ;
Meagher, Alan ;
Faragher, Ian G. ;
Shedda, Susan ;
Frizelle, Frank A. .
DISEASES OF THE COLON & RECTUM, 2009, 52 (05) :1008-1016