Related Experiment Video
Updated: Oct 5, 2025
08:20
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
13.3K
Right sided diverticulitis in western countries: A review.
Angelo Gabriele Epifani1, Diletta Cassini2, Roberto Cirocchi3
1Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, University of Milan, Sesto San Giovanni 20099, Italy.
World Journal of Gastrointestinal Surgery
|January 24, 2022
Summary
Right-sided diverticulitis management is unclear in Western countries. While non-operative management is safe, misdiagnosis is common, often mistaken for appendicitis. CT scans aid diagnosis, and surgery is reserved for complications or suspected malignancy.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Epidemiology
Background:
- Right-sided diverticulitis management lacks established guidelines in Western countries, unlike left-sided disease.
- Increasing prevalence necessitates better understanding and treatment strategies, particularly in Asia.
Purpose of the Study:
- To analyze the epidemiology, diagnosis, and treatment of right-sided diverticulitis in Western populations.
- To identify challenges and optimal approaches for managing this condition.
Main Methods:
- Systematic literature review of MEDLINE and PubMed databases.
- Inclusion of studies on right-sided, colonic, cecal, ascending colon, and cecum diverticula published up to 2021.
- Analysis of diagnostic accuracy, treatment modalities, and recurrence rates.
Main Results:
- 18 studies involving 422 patients were reviewed.
- Accurate diagnosis occurred in only 32.2%, with acute appendicitis being the most common misdiagnosis (56.8%).
- Non-operative management (NOM) was used in 43.6%, surgery in 56.4%. Recurrence rate was low (5.45%) and manageable.
Conclusions:
- Right-sided diverticulitis management requires clarification in the West, despite similarities to left-sided disease.
- Accurate diagnosis, aided by CT scans, is crucial; NOM is a safe option.
- Surgery is indicated for complicated cases or when malignancy is suspected; further research is needed.
Related Concept Videos
01:22Appendicitis-I: Introduction
759
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
759
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
395
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
395
01:21Inflammatory Bowel Disease V: Surgical Management
243
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
243
01:19Abdominal Regions and Quadrants
13.2K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
13.2K
01:29Appendicitis-II: Diagnostic Studies and Management
157
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
157
01:30Inflammatory Bowel Disease II: Crohn's Disease
436
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
436