Use of CT Imaging in Acute Diverticulitis

Background: Acute colonic diverticulitis is generally considered to be a clinical diagnosis, however the use of CT (computed tomography)imaging in diverticulitis is becoming more common to exclude complicated diverticulitis.Objectives: To assess the use of CT imaging in the acute presentation of sus...

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Autores principales:	Anton Mare, Neil Jones
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2016
Materias:	colonic computed tomography diverticulitis imaging laparotomy Medicine R
Acceso en línea:	https://doaj.org/article/ac2b9ce7d0604db6a147b569111cffe8
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spelling	oai:doaj.org-article:ac2b9ce7d0604db6a147b569111cffe82021-11-15T09:43:58ZUse of CT Imaging in Acute Diverticulitis2783-2430https://doaj.org/article/ac2b9ce7d0604db6a147b569111cffe82016-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47144_0189ab756e7132d57550c2d4f3bbadf2.pdfhttps://doaj.org/toc/2783-2430Background: Acute colonic diverticulitis is generally considered to be a clinical diagnosis, however the use of CT (computed tomography)imaging in diverticulitis is becoming more common to exclude complicated diverticulitis.Objectives: To assess the use of CT imaging in the acute presentation of suspected colonic diverticulitis and whether clinical managementwas altered depending on imaging findings.Methods: Retrospective audit of all patients admitted to Flinders Medical Centre with a clinical diagnosis of acute colonic diverticulitisin ED or following investigation with CT between July 2011 and February 2012.Results: Atotal of 79 patients were suspected of having diverticulitis. 57 (72.2%) patients wereconfirmedto have diverticulitis followingimaging of which 46 (80.7%) patients had simple diverticulitis and 11 (19.3%) patients had complicated diverticulitis (perforationn = 7 [12.3%]; abscess n = 4 [7.0%]). Overall only 6.3% of patients required radiological or surgical management for their presentation.Conclusions: There is an overuse of CT in the investigation of acute diverticulitis with limited change in clinical management asonly 6.3% of patients required surgical or radiological intervention. We suggest medical management with intravenous antibioticsand bowel rest with imaging indicated after 72 hours if no clinical improvement (or earlier if warranted by the clinical status).Anton MareNeil JonesShiraz University of Medical Sciencesarticlecoloniccomputed tomographydiverticulitisimaginglaparotomyMedicineRENIranian Journal of Colorectal Research, Vol 4, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	colonic computed tomography diverticulitis imaging laparotomy Medicine R
spellingShingle	colonic computed tomography diverticulitis imaging laparotomy Medicine R Anton Mare Neil Jones Use of CT Imaging in Acute Diverticulitis
description	Background: Acute colonic diverticulitis is generally considered to be a clinical diagnosis, however the use of CT (computed tomography)imaging in diverticulitis is becoming more common to exclude complicated diverticulitis.Objectives: To assess the use of CT imaging in the acute presentation of suspected colonic diverticulitis and whether clinical managementwas altered depending on imaging findings.Methods: Retrospective audit of all patients admitted to Flinders Medical Centre with a clinical diagnosis of acute colonic diverticulitisin ED or following investigation with CT between July 2011 and February 2012.Results: Atotal of 79 patients were suspected of having diverticulitis. 57 (72.2%) patients wereconfirmedto have diverticulitis followingimaging of which 46 (80.7%) patients had simple diverticulitis and 11 (19.3%) patients had complicated diverticulitis (perforationn = 7 [12.3%]; abscess n = 4 [7.0%]). Overall only 6.3% of patients required radiological or surgical management for their presentation.Conclusions: There is an overuse of CT in the investigation of acute diverticulitis with limited change in clinical management asonly 6.3% of patients required surgical or radiological intervention. We suggest medical management with intravenous antibioticsand bowel rest with imaging indicated after 72 hours if no clinical improvement (or earlier if warranted by the clinical status).
format	article
author	Anton Mare Neil Jones
author_facet	Anton Mare Neil Jones
author_sort	Anton Mare
title	Use of CT Imaging in Acute Diverticulitis
title_short	Use of CT Imaging in Acute Diverticulitis
title_full	Use of CT Imaging in Acute Diverticulitis
title_fullStr	Use of CT Imaging in Acute Diverticulitis
title_full_unstemmed	Use of CT Imaging in Acute Diverticulitis
title_sort	use of ct imaging in acute diverticulitis
publisher	Shiraz University of Medical Sciences
publishDate	2016
url	https://doaj.org/article/ac2b9ce7d0604db6a147b569111cffe8
work_keys_str_mv	AT antonmare useofctimaginginacutediverticulitis AT neiljones useofctimaginginacutediverticulitis
_version_	1718428515593879552

Use of CT Imaging in Acute Diverticulitis

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