Conservative treatment of uncomplicated right-sided diverticulitis: a systematic review and meta-analysis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Jun Ho | - |
dc.contributor.author | Ahn, Byung Kyu | - |
dc.contributor.author | Lee, Kang Hong | - |
dc.date.accessioned | 2022-07-06T16:05:22Z | - |
dc.date.available | 2022-07-06T16:05:22Z | - |
dc.date.created | 2021-07-14 | - |
dc.date.issued | 2021-08 | - |
dc.identifier.issn | 0179-1958 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/141450 | - |
dc.description.abstract | Purpose Right-sided diverticulitis has different epidemiologic features compared to left-sided diverticulitis. However, data on the appropriate treatment of right-sided diverticulitis are lacking. This systematic review aimed to examine the outcomes of conservative treatment for uncomplicated right-sided diverticulitis. Methods MEDLINE, Embase, and the Cochrane Library were searched for articles published from January 1, 1990, to May 31, 2020. A total of 21 studies were included in the systematic review. We calculated proportions and 95% confidence intervals (CIs) to assess the outcomes of individual studies and pooled the results using a random effects model. Results A total of 2811 patients (59.1% men; mean and median age, 37–54 years) with right-sided diverticulitis were included. The pooled rate of treatment failure was 2.5% (95% CI 1.2–4.3%; p <0.01; I2 = 64.0%). The recurrence rate ranged from 0 to 26.9%, and the pooled recurrence rate was 10.9% (95% CI 8.1–14.1%; p <0.01; I2 = 78.2%). The pooled rate of complicated diverticulitis at recurrence was 4.4% (95% CI 1.4–9.0%; p = 0.84; I2 = 0%). The pooled rate of emergency surgery at recurrence was 9.0% (95% CI 4.6–14.7%; p = 0.12; I2 = 30.3%). Conclusions Conservative treatment of uncomplicated right-sided diverticulitis results in a low rate of recurrence and complicated diverticulitis at recurrence. Based on these results, unnecessary surgery may be avoided and a new treatment paradigm for uncomplicated right-sided diverticulitis may be introduced. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.title | Conservative treatment of uncomplicated right-sided diverticulitis: a systematic review and meta-analysis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Jun Ho | - |
dc.contributor.affiliatedAuthor | Ahn, Byung Kyu | - |
dc.contributor.affiliatedAuthor | Lee, Kang Hong | - |
dc.identifier.doi | 10.1007/s00384-021-03913-x | - |
dc.identifier.scopusid | 2-s2.0-85103192889 | - |
dc.identifier.wosid | 000632741200001 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, v.36, no.8, pp.1791 - 1799 | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | - |
dc.citation.title | INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | - |
dc.citation.volume | 36 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 1791 | - |
dc.citation.endPage | 1799 | - |
dc.type.rims | ART | - |
dc.type.docType | Review; Early Access | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | UNITED-STATES | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | COLON | - |
dc.subject.keywordPlus | HOSPITALIZATION | - |
dc.subject.keywordPlus | RECURRENCE | - |
dc.subject.keywordAuthor | Right-sided diverticulitis | - |
dc.subject.keywordAuthor | Uncomplicated diverticulitis | - |
dc.subject.keywordAuthor | Conservative treatment | - |
dc.subject.keywordAuthor | Recurrence | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00384-021-03913-x | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea+82-2-2220-1365
COPYRIGHT © 2021 HANYANG UNIVERSITY.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.