A novel endoscopic grading system for prediction of disease-related outcomes in patients with diverticulosis - 30/10/18
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 (p < 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 (p < 0001). The mean follow up was 11 years.
Conclusion |
Surgeons should consider using endoscopic grading as an adjunct to clinical management decisions.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Endoscopic grading has the potential to predict the risk of developing symptomatic diverticular disease. |
• | Grading systems should be easy to remember and apply, enabling quick assessment of the severity of diverticular disease. |
• | Surgeons should consider using an endoscopic grading system as an adjunct to clinical management decisions. |
Keywords : Diverticular disease, Diverticulitis, Diverticulosis, Endoscopy, Colonoscopy
Plan
Vol 216 - N° 5
P. 926-931 - novembre 2018 Retour au numéro
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