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Diverticulitis in the younger patient
Sonlee D West1, Emily K Robinson, Adam N Delu
1Department of Surgery, University of Texas Medical School, Houston 77026, USA.
Insights
Diverticulitis is increasingly affecting younger individuals, with no significant differences in presentation, treatment, or complications compared to older patients. This study highlights a shift in the typical patient demographic for this condition.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Epidemiology
Background:
- Diverticulitis presentation and treatment patterns were analyzed at an urban county hospital.
- Focus on indigent patients and comparison between younger and older age groups.
Purpose of the Study:
- To examine diverticulitis presentation in a predominantly indigent patient population.
- To analyze age-related differences in diverticulitis presentation and treatment.
Main Methods:
- Retrospective review of 64 patient medical records (1995-2001).
- Inclusion criteria: diverticulitis confirmed operatively or radiographically.
- Patients divided into two groups: ≤50 years and >50 years.
Main Results:
- Mean age of patients was 45.5 years; 72% were under 50.
- No significant differences found in sex, surgical procedures, or complication rates between age groups.
- A trend towards increased surgical intervention in younger patients did not reach statistical significance.
Conclusions:
- The study population with diverticulitis is younger than previously reported.
- Diverticulitis in young patients at this institution does not appear to be more aggressive.
- Further research may be needed to understand the trend towards increased surgical intervention in younger demographics.
Background:
The purpose of this study was to examine the presentation of diverticulitis at an urban county hospital serving predominantly indigent patients and to analyze the differences, if any, in presentation and treatment in younger patients.
Methods:
A retrospective review of medical records from 1995 to 2001 was performed at a single institution to identify patients admitted to the surgical service with the diagnosis of diverticular disease. Inclusion criteria were either diverticulitis confirmed at operation or radiographic findings consistent with the disease. Patient demographics, history, pertinent physical findings, and treatment were recorded. The data were analyzed after dividing the patients into two populations: a younger population 50 years of age or less, and a second population of patients older than 50.
Results:
During the interval, a total of 64 patients were admitted to the surgical service with the diagnosis of diverticulitis. The mean age of this population was 45.5 years (range 21 to 86). Forty-six patients were under 50 years of age (72%). Analysis of sex differences, type and timing of surgical procedure, and complication rate with respect to age showed no significant difference between the two age groups.
Conclusions:
We are clearly treating a younger patient population than previous reports on patients with diverticulitis. Although there was a trend toward increased surgical intervention in the younger population, this number did not reach statistical significance. Diverticulitis in young patients at our institution does not appear to take a more aggressive course than the same disease in older patients.
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