A novel endoscopic grading system for prediction of disease-related outcomes in patients with diverticulosis.
Am J Surg
; 216(5): 926-931, 2018 11.
Article
em En
| MEDLINE
| ID: mdl-29792278
ABSTRACT
BACKGROUND:
We describe a simple endoscopic grading system of diverticular disease for the assessment of disease severity and prediction of outcomes.METHODS:
A retrospective analysis of prospectively maintained colonoscopy database was conducted. A single endoscopist prospectively graded disease severity according to the number and size of diverticula, the degree of muscular hypertrophy and rigidity of the sigmoid colon.RESULTS:
762 patients were included in the analysis. Mean patient age was 70 years (range 37-97). Endoscopic severity of diverticulosis was predictive of the need for surgery, with 2% in the mild-moderate, 12% in the severe and 33% in the acute group (pâ¯<â¯0001). Time to surgery showed correlation to severity grade, with mean periods of 107.5 months in the moderate group vs. 3 and 2.5 months in the severe and acute group (pâ¯<â¯0001). The mean follow up was 11 years.CONCLUSION:
Surgeons should consider using endoscopic grading as an adjunct to clinical management decisions.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Colo Sigmoide
/
Colonoscopia
/
Divertículo do Colo
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos