Treatment in Right Colon Diverticulitis Patients

Outcome Clinical Trial

Official title:

Operative and Conservative Treatment in Right Colon Diverticulitis Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04746326
• Other study ID #: 2020 / 14-6
• Status: Completed
• Phase: N/A
• Start date: January 1, 2020
• Est. completion date: January 20, 2021

Study information

• Verified date: February 2021
• Source: Tepecik Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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

Recruitment information / eligibility

• Status: Completed
• Enrollment: 26
• Est. completion date: January 20, 2021
• Est. primary completion date: January 1, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• diagnosed with right colon diverticulitis

Exclusion Criteria:

• Left colon diverticulitis

• Right colon diverticulitis detected incidentally

• lacking data

Related Conditions & MeSH terms

• Diverticulitis
• Diverticulitis, Colonic
• Outcome

Intervention

Procedure:
• Failure conservative treatment
Surgery was performed in patients who failed conservative treatment.
• Surgery
Surgery was performed in patients who had generalized peritonitis and perforation.

Other:
• Conservative treatment
Conservative treatment was performed in patients who had no generalized peritonitis and perforation.

Locations

Country	Name	City	State
Turkey	Tepecik Training and Research Hospital	Izmir

Sponsors (1)

Lead Sponsor	Collaborator
Tepecik Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Participants with mortality	mortality	up to 24 weeks
Primary	Number of Participants with wound infection	wound infection	up to 24 weeks