The Clinical Features of Colonic Diverticulitis and the Role of Barium Enema and Colonoscopy Ryuji Sugiyama 1 , Yusuke Saitoh 1 , Masaki Taruishi 1 , Shunsuke Nakajima 1 , Satoshi Suzuki 1 , Kazumasa Nakamura 1 , Ryuji Sukegawa 1 , Kenichiro Ozawa 1 , Atsushi Chiba 1 , Motoya Tominaga 2 , Hiroshi Kamada 3 , Makoto Hanawa 3 , Masaaki Nenohi 4 , Akio Takada 5 1Digestive Disease Center, Asahikawa City Hospital, Asahikawa, Japan 2Department of Gastroenterology, Hematology and Oncology, Asahikawa Medical University, Asahikawa, Japan 3Department of Radiology, Asahikawa City Hospital, Asahikawa, Japan 4Department of Surgery, Asahikawa City Hospital, Asahikawa, Japan 5Department of Pathology, Asahikawa City Hospital, Asahikawa, Japan Keyword: 大腸憩室炎 , 大腸内視鏡検査 , 注腸X線検査 , 腹部CT検査 pp.1083-1094
Published Date 2012/6/25
DOI https://doi.org/10.11477/mf.1403113520
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 During the period from Apr. 2005 to Apr. 2011, 92 cases of diverticulitis that were diagnosed and treated at the Digestive Disease center, Asahikawa City Hospital, were analyzed retrospectively. All diverticulitis cases were diagnosed by CT scan and the average age of cases were 55.4yrs, with no significant differences in the incidence between males and females. The incidence of diverticulitis in younger years, 65 or less, was significantly higher in the right colon than that in the left colon(p=0.03).

 The peak value of WBC and CRP were significantly higher in patients with admission treatment than in those without admission treatment. These blood tests might be useful for determing whether a patient should be admitted or not. Surgery was required in 9 patients. Cases with diverticulitis in the left colon are more likely to require surgery than those with it in the right colon(p=0.02). Barium enema study and colonoscopy play few important roles in the diagnosis of diverticulitis. On the other hand, barium enema study was more frequently performed in the surgery cases than in the non-surgery ones(p=0.003). Barium enema study provides useful information for the identification of the sites for resection and anastomosis. On the other hand, colonoscopy was frequently performed in the non-surgery cases(p=0.003)for the differential diagnosis of other inflammatory and neoplastic diseases after the healing of diverticulitis. It is important that the gastroenterologists should understand the characteristics of each diagnostic method, so as to be able to determine the treatment method to be used in cases of diverticulitis.

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