CLINICAL AND PARACLINICAL CHARACTERISTICS IN ELDERLY PATIENTS WITH COLONIC DIVERTICULITIS AT THONG NHAT HOSPITAL

Hồ Hữu Đức 1 , Nguyễn Văn Hưng 1, 2 ,
1 Thong Nhat Hospital image/svg+xml
2 Vietnam National University Ho Chi Minh City image/svg+xml
* Corresponding author:

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A 50-Year Journey in Establishing a Position and Promoting Sustainable Development in Healthcare and Geriatrics
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DOI
10.63947/bvtn.v1i1.8
Published
2025-06-03
Issue Vol. 1 No. 1 (2025): A 50-Year Journey in Establishing a Position and Promoting Sustainable Development in Healthcare and Geriatrics
Section
Original Paper

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Hữu Đức H, Văn Hưng N. CLINICAL AND PARACLINICAL CHARACTERISTICS IN ELDERLY PATIENTS WITH COLONIC DIVERTICULITIS AT THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2025 Jun. 3 [cited 2025 Aug. 13];1(1):57–60. https://tcsuckhoelaohoa.vn/bvtn/article/view/19 doi: 10.63947/bvtn.v1i1.8
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Abstract

This article analyzes the clinical and paraclinical features of 47 elderly patients with colonic diverticulitis at Thong Nhat Hospital. The majority were male (68.1%) and aged 60–74 (72.3%). The most common symptom was dull persistent abdominal pain (70.2%), mainly in the right and left iliac fossae. Fever and digestive disorders were atypical, with low fever rates (10.6%) and watery stools accounting for 51%. Blood tests showed leukocytosis in 46.8% and increased CRP in 93.6%. CT imaging was crucial for diagnosis and severity assessment, with 25.5% requiring surgery. The findings highlight the importance of recognizing atypical symptoms and the role of paraclinical tests in diagnosis in the elderly.

   

Keywords

colonic diverticulitis elderly clinical characteristics paraclinical features

References

  1. Lưu LH, Anh NT. Viêm túi thừa đại tràng. Trong Bệnh học ngoại khoa tiêu hóa. NXB Y học. 2021:239-257.
  2. Thái Nguyên Hưng, Trịnh Thành Vinh. Đặc điểm dịch tễ học, lâm sàng và cận lâm sàng viêm túi thừa đại tràng. Tạp chí Y học Việt Nam, 1B, 163-169, 2023. DOI: https://doi.org/10.51298/vmj.v526i1B.5436
  3. Phol P, Đào VL, Đào VH. Tần suất, đặc điểm lâm sàng, cận lâm sàng và hình ảnh nội soi của viêm túi thừa đại tràng. Tạp chí y học Việt Nam, 543(1), 2024. DOI: https://doi.org/10.51298/vmj.v543i1.11305
  4. Sartelli M, Weber DG, Kluger Y, et al. 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting. World J Emerg Surg. 2020;15(1):32. DOI: https://doi.org/10.1186/s13017-020-00318-z
  5. Hsu CY, Chang WC. Clinical features and outcomes of diverticulitis in the elderly: A systematic review. Verywell Health, 2023.
  6. Koster KE, Wyers M. Diverticulitis in older adults: Epidemiology, diagnosis, and management. 2022.
  7. Hall JK, Supiano MA, Cohan JN. Diverticular disease in older adults: A review of etiology, diagnosis, and management. J Am Geriatr Soc. 2025;73(4):1075-1084. DOI: https://doi.org/10.1111/jgs.19388
  8. Lee HJ, Park Y, Shin JH. Efficacy of medical and surgical treatment across clinical stages: A systematic review and meta-analysis. BMC Medicine, 19(1):88, 2021.
  9. Park JS, Kim HN, Lee TH. Diagnostic value of neutrophil to lymphocyte ratio and white blood cell count in predicting complicated diverticulitis. Int J Colorectal Dis. 2021;36(3):565–571.
  10. Nguyen TT, Pham HQ, Tran NL. Outcomes of conservative vs operative treatment in progressive disease stages. Int J Clin Med. 2023;14(2):205–213.

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© 2025 The Author(s). Published by Journal of Health and Aging.

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