Dataset Information

Diagnosis and management of acute colonic diverticulitis: results of a survey among Korean gastroenterologists.

ABSTRACT:

Background/aims

Some management strategies for acute colonic diverticulitis remain controversial in Korean real-world practice because their clinical features differ from those in the West. This study aimed to investigate the opinions of Korean physicians regarding the diagnosis and treatment of acute diverticulitis.

Methods

A web-based survey was conducted among gastroenterologists specializing on treating lower gastrointestinal disorders. The questionnaires concerned overall management strategies for colonic diverticulitis, including diagnosis, treatment, and follow-up.

Results

In total, 209 gastroenterologists responded to the survey. Less than one-fourth of the respondents (23.6%) answered that left-sided colonic diverticulitis is more likely to be complicated than right-sided colonic diverticulitis. Most respondents agreed that immunocompromised patients with diverticulitis have worse clinical outcomes than immunocompetent patients (71.3%). Computed tomography was the most preferred tool for diagnosing diverticulitis (93.9%). Approximately 89% of the respondents answered that they believed antibiotic treatment is necessary to treat acute uncomplicated diverticulitis. Most respondents (92.6%) agreed that emergency surgery is not required for diverticulitis with an abscess or microperforation without panperitonitis. Further, 94.7% of the respondents agreed that colon cancer screening is necessary in patients aged ≥ 50 years with diverticulitis after they have recovered from acute illness. Many respondents (71.4%) agreed that surgery for recurrent diverticulitis should be individualized.

Conclusion

Opinions regarding management strategies for colonic diverticulitis among Korean gastroenterologists were well agreed upon in some areas but did not agree well in other areas. Evidence-based guidelines that meet the practical needs of the Korean population should be developed.

SUBMITTER: Lee JG

PROVIDER: S-EPMC10493441 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Diagnosis and management of acute colonic diverticulitis: results of a survey among Korean gastroenterologists.

Lee Jae Gon JG Park Yong Eun YE Chang Ji Young JY Song Hyun Joo HJ Kim Duk Hwan DH Yang Young Joo YJ Kim Byung Chang BC Lee Shin Hee SH You Myung-Won MW Kim Seong-Eun SE

The Korean journal of internal medicine 20230817 5

<h4>Background/aims</h4>Some management strategies for acute colonic diverticulitis remain controversial in Korean real-world practice because their clinical features differ from those in the West. This study aimed to investigate the opinions of Korean physicians regarding the diagnosis and treatment of acute diverticulitis.<h4>Methods</h4>A web-based survey was conducted among gastroenterologists specializing on treating lower gastrointestinal disorders. The questionnaires concerned overall man ...[more]

PMID: 37586812

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Dataset Information

Diagnosis and management of acute colonic diverticulitis: results of a survey among Korean gastroenterologists.

Background/aims

Methods

Results

Conclusion

Publications

Diagnosis and management of acute colonic diverticulitis: results of a survey among Korean gastroenterologists.

Similar Datasets

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