Difference in Clinical Features between Right- and Left-Sided Acute Colonic Diverticulitis
Right colonic diverticulitis (RCD) and left colonic diverticulitis (LCD) may have different clinical features due to the different embryologic origins and anatomical locations of each colon. Therefore, we aimed to compare RCD and LCD in terms of the associated clinical features. We retrospectively c...
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| Veröffentlicht in: | Scientific reports 2020-02, Vol.10 (1), p.3754-3754, Article 3754 |
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| description | Right colonic diverticulitis (RCD) and left colonic diverticulitis (LCD) may have different clinical features due to the different embryologic origins and anatomical locations of each colon. Therefore, we aimed to compare RCD and LCD in terms of the associated clinical features. We retrospectively collected clinical data from patients who were diagnosed with acute colonic diverticulitis based on computed tomography findings between 2011 and 2017. RCD was defined as colonic diverticulitis extending from the caecum to the transverse colon, and LCD was defined as extending from the splenic flexure to the sigmoid colon. These analyses included 667 patients with RCD and 58 patients with LCD. Relative to the patients with LCD, the patients with RCD were younger (P |
| doi_str_mv | 10.1038/s41598-020-60397-5 |
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Therefore, we aimed to compare RCD and LCD in terms of the associated clinical features. We retrospectively collected clinical data from patients who were diagnosed with acute colonic diverticulitis based on computed tomography findings between 2011 and 2017. RCD was defined as colonic diverticulitis extending from the caecum to the transverse colon, and LCD was defined as extending from the splenic flexure to the sigmoid colon. These analyses included 667 patients with RCD and 58 patients with LCD. Relative to the patients with LCD, the patients with RCD were younger (P < 0.001), were more likely to be male (P = 0.033), were taller (P < 0.001), had lower body mass index values (P < 0.001), had less advanced modified Hinchey stages (P < 0.001), and had shorter hospital stays (P < 0.001). Having LCD rather than RCD was a predictor of recurrent colonic diverticulitis (P = 0.003). Relative to LCD, RCD occurs at younger ages, is expressed at less advanced modified Hinchey stages, and is associated with lower risks of recurrence.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-60397-5</identifier><identifier>PMID: 32111862</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4020/1503/1501 ; 692/4020/1503/1581/1392/1388 ; Adult ; Age Factors ; Aged ; Body mass index ; Cecum - pathology ; Chronic Disease ; Colon ; Colon - pathology ; Computed tomography ; Diverticulitis, Colonic - epidemiology ; Diverticulitis, Colonic - pathology ; Female ; Follow-Up Studies ; Humanities and Social Sciences ; Humans ; Male ; Middle Aged ; multidisciplinary ; Patients ; Retrospective Studies ; Risk Factors ; Science ; Science (multidisciplinary) ; Sex Factors ; Spleen</subject><ispartof>Scientific reports, 2020-02, Vol.10 (1), p.3754-3754, Article 3754</ispartof><rights>The Author(s) 2020</rights><rights>This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-72c7cebb6340f6abfd203c5896cbf5a4db4ff87d6117d5f9c3cdb77f9a2750a33</citedby><cites>FETCH-LOGICAL-c474t-72c7cebb6340f6abfd203c5896cbf5a4db4ff87d6117d5f9c3cdb77f9a2750a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048749/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048749/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,41096,42165,51551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32111862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Kil-yong</creatorcontrib><creatorcontrib>Lee, Jaeim</creatorcontrib><creatorcontrib>Park, Youn Young</creatorcontrib><creatorcontrib>Kim, Younglim</creatorcontrib><creatorcontrib>Oh, Seong Taek</creatorcontrib><title>Difference in Clinical Features between Right- and Left-Sided Acute Colonic Diverticulitis</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Right colonic diverticulitis (RCD) and left colonic diverticulitis (LCD) may have different clinical features due to the different embryologic origins and anatomical locations of each colon. Therefore, we aimed to compare RCD and LCD in terms of the associated clinical features. We retrospectively collected clinical data from patients who were diagnosed with acute colonic diverticulitis based on computed tomography findings between 2011 and 2017. RCD was defined as colonic diverticulitis extending from the caecum to the transverse colon, and LCD was defined as extending from the splenic flexure to the sigmoid colon. These analyses included 667 patients with RCD and 58 patients with LCD. Relative to the patients with LCD, the patients with RCD were younger (P < 0.001), were more likely to be male (P = 0.033), were taller (P < 0.001), had lower body mass index values (P < 0.001), had less advanced modified Hinchey stages (P < 0.001), and had shorter hospital stays (P < 0.001). Having LCD rather than RCD was a predictor of recurrent colonic diverticulitis (P = 0.003). 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Lee, Jaeim ; Park, Youn Young ; Kim, Younglim ; Oh, Seong Taek</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-72c7cebb6340f6abfd203c5896cbf5a4db4ff87d6117d5f9c3cdb77f9a2750a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>692/4020/1503/1501</topic><topic>692/4020/1503/1581/1392/1388</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Body mass index</topic><topic>Cecum - pathology</topic><topic>Chronic Disease</topic><topic>Colon</topic><topic>Colon - pathology</topic><topic>Computed tomography</topic><topic>Diverticulitis, Colonic - epidemiology</topic><topic>Diverticulitis, Colonic - pathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>multidisciplinary</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Sex Factors</topic><topic>Spleen</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Kil-yong</creatorcontrib><creatorcontrib>Lee, Jaeim</creatorcontrib><creatorcontrib>Park, Youn Young</creatorcontrib><creatorcontrib>Kim, Younglim</creatorcontrib><creatorcontrib>Oh, Seong Taek</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Kil-yong</au><au>Lee, Jaeim</au><au>Park, Youn Young</au><au>Kim, Younglim</au><au>Oh, Seong Taek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Difference in Clinical Features between Right- and Left-Sided Acute Colonic Diverticulitis</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-02-28</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>3754</spage><epage>3754</epage><pages>3754-3754</pages><artnum>3754</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Right colonic diverticulitis (RCD) and left colonic diverticulitis (LCD) may have different clinical features due to the different embryologic origins and anatomical locations of each colon. Therefore, we aimed to compare RCD and LCD in terms of the associated clinical features. We retrospectively collected clinical data from patients who were diagnosed with acute colonic diverticulitis based on computed tomography findings between 2011 and 2017. RCD was defined as colonic diverticulitis extending from the caecum to the transverse colon, and LCD was defined as extending from the splenic flexure to the sigmoid colon. These analyses included 667 patients with RCD and 58 patients with LCD. Relative to the patients with LCD, the patients with RCD were younger (P < 0.001), were more likely to be male (P = 0.033), were taller (P < 0.001), had lower body mass index values (P < 0.001), had less advanced modified Hinchey stages (P < 0.001), and had shorter hospital stays (P < 0.001). Having LCD rather than RCD was a predictor of recurrent colonic diverticulitis (P = 0.003). Relative to LCD, RCD occurs at younger ages, is expressed at less advanced modified Hinchey stages, and is associated with lower risks of recurrence.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32111862</pmid><doi>10.1038/s41598-020-60397-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | 692/4020/1503/1501 692/4020/1503/1581/1392/1388 Adult Age Factors Aged Body mass index Cecum - pathology Chronic Disease Colon Colon - pathology Computed tomography Diverticulitis, Colonic - epidemiology Diverticulitis, Colonic - pathology Female Follow-Up Studies Humanities and Social Sciences Humans Male Middle Aged multidisciplinary Patients Retrospective Studies Risk Factors Science Science (multidisciplinary) Sex Factors Spleen |
| title | Difference in Clinical Features between Right- and Left-Sided Acute Colonic Diverticulitis |
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