Follow-Up Colonoscopy for Detection of Missed Colorectal Cancer After Diverticulitis.

ABSTRACT:

Background & aims

Colonoscopy often is recommended after an episode of diverticulitis to exclude missed colorectal cancer (CRC). This is a controversial recommendation based on limited evidence. We estimated the prevalence and odds of CRC and advanced colorectal neoplasia on colonoscopy in patients with diverticulitis compared with CRC screening.

Methods

Using data from the Gastrointestinal Quality Improvement Consortium registry, we performed a cross-sectional study with patients ≥40 years old undergoing outpatient colonoscopy for an indication of diverticulitis follow-up evaluation or CRC screening. The primary outcome was CRC. The secondary outcome was advanced colorectal neoplasia. Odds ratios (ORs) and 95% CIs were calculated.

Results

We identified 4,591,921 outp

SUBMITTER: Redd WD 

PROVIDER: S-EPMC11871553 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature