SAĞ KOLON DİVERTİKÜLİTİ

Öz

Sağ kolon divertiküler hastalığının görülme sıklığı etnik kökene, kültüre ve diyete bağlı olarak değişiklik göstermektedir. Hastaların benzer bulgu ve semptomlarla başvurması nedeni ile cerrahi öncesi apandisit ile ayırımı zordur. Bu nedenle tedavi stratejisinin belirlenmesinde de zorluklar vardır. Bu çalışmanın amacı tanı ve tedavi açısından sağ kolon divertiküler hastalığını değerlendirmektir. 2008 yılından 2013 yılına kadar hastanemize başvurmuş pre veya perioperatif sağ kolon divertiküliti tanısı almış 11 hastayı klinik hikaye, fizik muayene, radyolojik bulgular ve tedavi açısından retrospektif olarak inceledik

Anahtar Kelimeler

• Sağ kolon,Divertikülit

RIGHT COLON DIVERTICULITIS

Abstract

The incidence of colonic diverticular disease varies with national origin, cultural background and diet. Because the signs and symptoms are similar, it is difficult to differentiate right colon diverticulitis from appendicitis before surgery. Establishment of an appropriate treatment strategy is difficult for this condition due to its low preoperative diagnosis rate. The purpose of this study is to evaluate right-sided colonic diverticulitis in terms of diagnosis and treatment. This review examines 11 patients with right colon diverticulitis admitted to our hospital between 2008 and 2013. Patients with pre or per operatively diagnosed as right colon diverticulitis were evaluated based on their clinical history, physical and radiologic findings, and treatments retrospectively

Keywords

• Right colon,Diverticulitis

Kaynakça

1. ) Jasim M Radhi, Jennifer A Ramsay and Odette Boutross-Tadross, BMC Res Notes 2011; 4: 383.
2. ) Park JK, Sung JK, Choi SH, Yun SS, Lee S. Clinical analysis of right colon diverticulitis. J Korean Surg Soc 2003; 64: 44–8.
3. ) Choi CS, Cho EY, Kweon JH, Lim PS, No HJ, Kim KH, et al. The prevalence and clinical features of colonic diverticulosis diagnosed with colonscopy. Korean J Gastrointest Endosc 2007; 35:146–51.
4. ) Lee KJ, Hyun TI. Clinical evaluation of colonic diverticular disease. J Korean Surg Soc 1995; 11: 100–6.
5. ) In Kyu Lee, Right Colonic Diverticulitis J Korean Soc Coloproctology 2010; 26: 241–5.
6. )Oudenhoven LF, Koumans RK, Puylaert JB. Right colonic diverticulitis: US and CT findings--new insights about frequency and natural history. Radiology 1998; 208: 611–8.
7. ) Lee IK, Jung SE, Gorden DL, Lee YS, Jung DY, Oh ST, et al. The diagnostic criteria for right colonic diverticulitis: prospective evaluation of 100 patients. Int J Colorectal Dis 2008; 23: 1151–7.
8. ) Griffiths EA, Bergin FG, Henry JA, Mudawi AM. Acute inflammation of a congenital cecal diverticulum mimicking appendicitis. Med Sci Monit 2003; 9: 107–9.

9. ) Iwase H, Sadahiro S, Mukoyama S, Makuuchi H, Yasuda M. Morphology of myenteric plexuses in the human large intestine: comparison between large intestines with and without colonic diverticula. J Clin Gastroenterol 2005; 39: 674–8.
10. ) Nirula R, Greaney G. Right-sided diverticulitis: a difficult diagnosis. The American Surgeon 1997; 63: 871–3.
11. ) Sugihara K, Muto T, Morioka Y, Asano A, Yamamoto T. Diverticular disease of the colon in Japan. A review of 615 cases. Diseases of the Colon & Rectum 1984; 27: 531–7.
12. ) Violi V, Roncoroni L, Boselli AS, Trivelli M, Peracchia A. Diverticulitis of the caecum and ascending colon: an unavoidable
13. International Surgery 2000; 85: 39–47.
14. pitfall? 13) Park CW, Kim BG, Kim KS, Byun YH, Cho KH, Byun SH, et al. Surgical management of caecal diverticulitis detected during appendectomy. J Korean Soc Coloproctol 2001; 17:15–9.
15. ) Cho HJ, Cho SY, Oh JH. Clinical analysis of right colonic diverticulitis that was operated under the impression of acute appendicitis. J Korean Soc Coloproctol 2000; 16: 18–24.
16. ) Suh KW, Suh YJ, Choi JS, Yoo CH, Kim JH. Clinically differential diagnosis of cecal diverticulitis from appendicitis. J Korean Surg Soc 1996; 12: 94–8.
17. ) Reid MR, Poer DH, Merrell P. A statistical study of 2,921 cases of appendicitis. JAMA 1936; 106: 665–9.
18. ) Komuta K, Yamanaka S, Okada K, et al. Toward therapeutic guidelines for patients with
19. diverticulitis. The American Journal of Surgery 2004; 187: 233–7.
20. colonic 18) Yang H-R, Huang H-H, Wang Y-C, et al.
21. diverticulitis: a 10-year experience. World Journal of Surgery 2006; 30: 1929–34. of right
22. colon 19) Lee IK, Lee YS, Kim SJ, Gorden DL, Won DY, Kim HJ, et al. Laparoscopic and open
23. diverticulitis. Am Surg 2010; 76:486–91. for right colonic Yazının alınma tarihi:08.04.2013
24. Kabül tarihi:30.04.2013
25. Online basım:02.05.2013
26. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi,2013;17:72-76