ASSESSMENT OF CLINICAL FEATURES, DIAGNOSTIC FINDINGS, AND TREATMENT OUTCOMES OF COLONIC DIVERTICULITIS AT THE DEPARTMENT OF GASTROINTESTINAL SURGERY, THONG NHAT HOSPITAL

Ho Huu Duc 1 , , Tran Ngoc Thach 1 , Lam Hong Duc 1
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DOI
10.63947/bvtn.v2i7.10
Xuất bản
27-02-2026
Số Tập 2 Số 7 (2026): Multimodal approaches in geriatrics
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Huu Duc H, Ngoc Thach T, Hong Duc L. ASSESSMENT OF CLINICAL FEATURES, DIAGNOSTIC FINDINGS, AND TREATMENT OUTCOMES OF COLONIC DIVERTICULITIS AT THE DEPARTMENT OF GASTROINTESTINAL SURGERY, THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2026 tháng 2 27 [cited 2026 tháng 2 28];2(7):79–85. https://tcsuckhoelaohoa.vn/bvtn/article/view/179 doi: 10.63947/bvtn.v2i7.10
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Tóm tắt

Colonic diverticulitis is increasing in Asia, yet data on clinical patterns in Vietnam remain limited. This study aimed to evaluate the clinical, laboratory, imaging characteristics, and treatment outcomes at Thong Nhat Hospital. A retrospective descriptive study was conducted on 105 patients from January 1 to September 1, 2025. Data on demographics, clinical features, laboratory tests, CT findings, WSES classification, treatment strategies, and outcomes were collected and analyzed using SPSS 26.0, with p < 0.05 considered statistically significant. The mean age was 53.9 ± 20.0 years, with 31.4% aged ≥65. Males accounted for 67.6%. The most common symptom was right lower quadrant pain (55.2%). CT revealed diverticula mainly in the sigmoid colon (40.0%), cecum (37.1%), and right colon (19.0%). WSES stages were: 1a (57.1%), 1b (19.0%), 2a (11.4%), 2b (7.6%), 3 (3.8%), and 4 (1.0%). Medical treatment was applied in 89.5% of cases, percutaneous drainage in 1.0%, and surgery in 9.5%. The mean hospital stay was 7.6 ± 4.4 days, significantly longer in complicated cases and those requiring invasive interventions (p < 0.05). Colonic diverticulitis in Vietnam often affects middle-aged males, with location varying by age: cecum/right colon in younger patients and sigmoid colon in the elderly. CT-scan plays a crucial role in diagnosis, staging, and guiding treatment.

Từ khóa

colonic diverticulitis clinical features CT-scan WSES classification medical treatment surgery

Tài liệu tham khảo

  1. Feingold D, Steele SR, Lee S, Kaiser A, Boushey R, Buie WD, et al. Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum. 2014;57(3):284–94. doi: 10.1097/dcr.0000000000000075. PubMed PMID: 24509449.
  2. Strate LL, Morris AM. Epidemiology, Pathophysiology, and Treatment of Diverticulitis. Gastroenterology. 2019;156(5):1282–98.e1. Epub 20190117. doi: 10.1053/j.gastro.2018.12.033. PubMed PMID: 30660732; PubMed Central PMCID: PMC6716971.
  3. Chapman J, Davies M, Wolff B, Dozois E, Tessier D, Harrington J, et al. Complicated diverticulitis: is it time to rethink the rules? Ann Surg. 2005;242(4):576–81; discussion 81–3. doi: 10.1097/01.sla.0000184843.89836.35. PubMed PMID: 16192818; PubMed Central PMCID: PMC1402355.
  4. Peery AF, Dellon ES, Lund J, Crockett SD, McGowan CE, Bulsiewicz WJ, et al. Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology. 2012;143(5):1179–87.e3. Epub 20120808. doi: 10.1053/j.gastro.2012.08.002. PubMed PMID: 22885331; PubMed Central PMCID: PMC3480553.
  5. Hall J, Hardiman K, Lee S, Lightner A, Stocchi L, Paquette IM, et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis. Dis Colon Rectum. 2020;63(6):728–47. doi: 10.1097/dcr.0000000000001679. PubMed PMID: 32384404.
  6. Treatment of Left-Sided Colonic Diverticulitis (2020). 2025.
  7. Le HL, Nguyen VH. Result of laparoscopic diverticulectomy for right-sided colonic diverticulitis (Ket qua phau thuat cat tui thua dai trang phai bang phau thuat noi soi).
  8. Nguyen TA, Pham TQ, Nguyen HS. Treatment of perforated left colonic diverticulitis [Article in Vietnamese].
  9. Sugihara K, Muto T, Morioka Y, Asano A, Yamamoto T. Diverticular disease of the colon in Japan. A review of 615 cases. Dis Colon Rectum. 1984;27(8):531–7. doi: 10.1007/bf02555517. PubMed PMID: 6468190.
  10. Ambrosetti P. Value of CT for acute left-colonic diverticulitis: the surgeon's view. Dig Dis. 2012;30(1):51–5. Epub 20120503. doi: 10.1159/000335717. PubMed PMID: 22572685.
  11. Sartelli M, Weber DG, Kluger Y, Ansaloni L, Coccolini F, Abu-Zidan F, et al. 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting. World Journal of Emergency Surgery. 2020;15(1):32. doi: 10.1186/s13017-020-00313-4.
  12. Dichman ML, Rosenstock SJ, Shabanzadeh DM. Antibiotics for uncomplicated diverticulitis. Cochrane Database of Systematic Reviews. 2022(6). doi: 10.1002/14651858.CD009092.pub3. PubMed PMID: CD009092.

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