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Diverticulitis in the young

Kunut Kijsirichareanchai1, Charoen Mankongpaisarnrung2, Grerk Sutamtewagul2

  • 1University of Nebraska Medical Center, Omaha, NE, USA Texas Tech University Health Sciences Center, Lubbock, TX, USA k.kijsirichareanchai@unmc.edu.

Journal of Primary Care & Community Health
|September 3, 2014
PubMed

Insights

Colonic diverticulitis is uncommon in young adults, particularly Hispanic men. This study found younger patients were more likely to be discharged from the emergency department, but long-term outcomes require further investigation.

Area of Science:

  • Gastroenterology
  • Clinical Medicine
  • Epidemiology

Background:

  • Colonic diverticulitis is rare in patients under 40.
  • Comparison of young patients (≤40) versus older patients (>40) with diverticulitis is needed.

Purpose of the Study:

  • To compare demographic data, clinical presentation, management, and clinical course of diverticulitis in patients ≤40 years old versus patients >40 years old.
  • To identify specific characteristics of diverticulitis in younger populations.

Main Methods:

  • Retrospective study of patients diagnosed with diverticulitis between October 2009 and September 2010.
  • Patients divided into two groups: ≤40 years old and >40 years old.
  • Comparison of demographic characteristics, clinical presentation, management, and short-term outcomes.

Main Results:

  • A higher proportion of obese and Hispanic men were in the younger group (≤40).
  • Younger patients had a significantly higher emergency department discharge rate (56.8% vs 7.0%).
  • No significant differences were observed in vital signs, laboratory data, or in-hospital mortality between groups.

Conclusions:

  • Young Hispanic men are a demographic that develops diverticulitis.
  • Diverticulitis should be considered in young patients presenting with abdominal symptoms.
  • Further longitudinal studies are necessary to understand long-term outcomes and pathogenesis in young patients.
Abstract

Keywords:
diverticulitisdiverticulitis in youngdiverticulosis

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