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Difference in Clinical Features between Right- and Left-Sided Acute Colonic Diverticulitis.
Kil-Yong Lee1, Jaeim Lee2, Youn Young Park1
1Division of Coloproctology, Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu-si, South Korea.
Scientific Reports
|March 1, 2020
Summary
Right colonic diverticulitis (RCD) occurs in younger males and has less severe stages than left colonic diverticulitis (LCD). LCD is a predictor of recurrent diverticulitis, while RCD has a lower recurrence risk.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Medical Imaging
Background:
- Right colonic diverticulitis (RCD) and left colonic diverticulitis (LCD) may present with distinct clinical features.
- Differences may stem from varying embryologic origins and anatomical locations within the colon.
Purpose of the Study:
- To compare the clinical features associated with RCD and LCD.
- To identify differences in patient demographics, disease severity, and recurrence rates.
Main Methods:
- Retrospective analysis of clinical data from patients diagnosed with acute colonic diverticulitis via computed tomography (2011-2017).
- RCD defined as diverticulitis from cecum to transverse colon; LCD from splenic flexure to sigmoid colon.
- Comparison of clinical characteristics between RCD (n=667) and LCD (n=58) cohorts.
Main Results:
- Patients with RCD were younger, more likely male, taller, had lower BMI, less advanced modified Hinchey stages, and shorter hospital stays compared to LCD patients.
- Left colonic diverticulitis (LCD) was identified as a significant predictor of recurrent colonic diverticulitis (P=0.003).
Conclusions:
- Right colonic diverticulitis (RCD) is associated with younger age, less severe disease manifestations (lower modified Hinchey stages), and shorter hospitalizations.
- Left colonic diverticulitis (LCD) is linked to a higher risk of recurrence, suggesting distinct management or follow-up strategies may be warranted.
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