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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 10/2014

01-10-2014 | Original Article

Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack

Authors: Hyoung-Chul Park, Byung Seup Kim, Kwanseop Lee, Min Jeong Kim, Bong Hwa Lee

Published in: International Journal of Colorectal Disease | Issue 10/2014

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Abstract

Purpose

Most patients with acute right colonic uncomplicated diverticulitis can be managed conservatively. The aim of this study was to assess the clinical and radiologic risk factors for recurrence in patients with right colonic uncomplicated diverticulitis.

Methods

The present survey included 469 patients who were successfully managed conservatively for the first episode of right colonic uncomplicated diverticulitis between 2002 and 2012 in a referral center, and records were reviewed from collected data. Patients were divided into two groups: a nonrecurrent and a recurrent group. The clinical and radiologic features of all patients were analyzed to identify possible risk factors for recurrence. The Kaplan-Meier method and Cox regression were used.

Results

Seventy-four (15.8 %) patients had recurrence, and 15 (3.2 %) received surgery at recurrence within a median follow-up of 59 months. The mean recurrence interval after the first attack was 29 months. In univariate and multivariate analyses, risk factors for recurrence were confirmed multiple diverticula (relative risk [RR], 2.62; 95 % confidence interval [CI], 1.56–4.40) and intraperitoneally located diverticulitis (RR, 3.73; 95 % CI, 2.13–6.52). Of 66 patients with two risk factors, 36 (54.5 %) had recurrence and 10 (15.2 %) received surgery at recurrence.

Conclusions

In patients with right colonic uncomplicated diverticulitis who have multiple diverticula and intraperitoneally located diverticulitis, the possibility of recurrence and surgical rate are high. Poor outcome may be cautioned in these patients.
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Metadata
Title
Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack
Authors
Hyoung-Chul Park
Byung Seup Kim
Kwanseop Lee
Min Jeong Kim
Bong Hwa Lee
Publication date
01-10-2014
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Colorectal Disease / Issue 10/2014
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-014-1941-8

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