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Routine colonic endoscopic evaluation following resolution of acute diverticulitis:Is it necessary?

World Journal of Gastroenterology 2014年第35期20卷 12509-12516页

作者： Amit K Agarwal burzeen e karanjawala Justin A Maykel eric K Johnson Scott R Steele Department of Surgery University of Texas Health Science Center-Houston Department of Surgery University of Texas Health Science Center-Houston and Lyndon B.Johnson General Hospital University of Massachusetts Memorial Medical Center Colon Rectal Surgery Department of SurgeryMadigan Army Medical Center

Diverticular disease incidence is increasing up to 65% by age 85 in industrialized nations,low fiber diets,and in younger and obese ***-five percent of patients with diverticulosis will develop acute *** imposes a significant burden on healthcare systems,resulting in greater than 300000 admissions per year with an estimated annual cost of $3 billion *** computed tomography(CT) is the diagnostic study of choice,with a sensitivity and specificity greater than 95%.Unfortunately,similar CT findings can be present in colonic neoplasia,especially when perforated or *** prompted professional societies such as the American Society of Colon Rectal Surgeons to recommend patients undergo routine colonoscopy after an episode of acute diverticulitis to rule out ***,the data supporting routine colonoscopy after acute diverticulitis is sparse and based small cohort studies utilizing outdated *** any patient with an indication for a colonoscopy should undergo appropriate endoscopic evaluation,in the era of widespread use of high-resolution computed tomography,routine colonic endoscopic evaluation following resolution of acute uncomplicated diverticulitis poses additional costs,comes with inherent risks,and may require further *** this manuscript,we review the current data related to this recommendation.

关键词： Colonic evaluation Colonoscopy Diverticulitis Acut

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