Treatment in Right Colon Diverticulitis Patients

Not Applicable

Completed

• Conditions: Outcome
• Interventions: Procedure: Failure conservative treatment; Other: Conservative treatment; Procedure: Surgery

• Registration Number: NCT04746326
• Lead Sponsor: Tepecik Training and Research Hospital

Brief Summary

The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy.

Detailed Description

The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Here, we aimed to discuss the results of conservative and surgical treatment for right colon diverticulitis in the light of the literature. 150 patients treated for colon diverticulitis between 2015-2020 were retrospectively screened. Right colon diverticulitis detected incidentally, missing data, and left colon diverticulitis were excluded from the study. Data of a total of 26 patients were accessed. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy

Study Timeline

• Study Start: 2020-01-01
• Primary Completion: 2021-01-01
• Study Completion: 2021-01-20
• Study First Submitted: 2021-01-29
• Status Verified: 2021-02
• Study First Submitted QC: 2021-02-05
• Last Update Submitted: 2021-02-05
• Study First Posted: 2021-02-09
• Last Update Posted: 2021-02-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

• diagnosed with right colon diverticulitis

Exclusion Criteria

• Left colon diverticulitis
• Right colon diverticulitis detected incidentally
• lacking data

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Operative treatment	Failure conservative treatment	Operative procedure Right hemicolectomy Wedge resection of cecum Diverticulectomy + appendectomy Diverticulectomy Appendectomy + drainage
Conservative treatment	Conservative treatment	Conservative treatment stopping oral intake, intravenous antibiotic therapy.
Operative treatment	Surgery	Operative procedure Right hemicolectomy Wedge resection of cecum Diverticulectomy + appendectomy Diverticulectomy Appendectomy + drainage

Primary Outcome Measures

Name	Time	Method
Number of Participants with mortality	up to 24 weeks	mortality
Number of Participants with wound infection	up to 24 weeks	wound infection

Trial Locations

Locations (1)

Tepecik Training and Research Hospital; 🇹🇷 İzmir, Turkey