Abstract
Background: Left-sided diverticulitis occurred less frequently than right-sided diverticulitis in Asian countries; however, it was associated with a higher rate of complications and a greater likelihood of requiring surgical intervention.
Objectives: To evaluate the clinical, paraclinical features, and treatment outcomes of patients with complicated colonic diverticulitis.
Subjects and methods: Prospective study, included 53 patients diagnosed with complicated colonic diverticulitis who were treated at the Department of Digestive Surgery, Hue University of Medicine and Pharmacy Hospital, from April 2023 to January 2026.
Results: The overall mean age of patients with complicated colonic diverticulitis was 44.9 years. Patients with right-sided colonic diverticulitis were younger, with a mean age of 39.0 years, compared with 67.2 years in those with left-sided. The male/female ratio was 2.7. All patients presented with abdominal pain. The mean white blood cell count was 12.2 K/µL. Overall, 71.7% of patients had leukocytosis. The mean CRP was 101.7 mg/L. Among the study population, 46 patients received conservative management, whereas 7 underwent surgical treatment. All patients who underwent surgery had left-sided colonic diverticulitis. Hartmann's procedure was the predominant approach. The mean length of hospital stay was 6.2 days for patients with right-sided colonic diverticulitis, compared with 15.8 days for those with left-sided disease. For surgical treatment patients, the postoperative complication rate was 57.1%, and the mortality rate was 14.3%.
Conclusions: Complicated colonic diverticulitis was more frequently observed in the right colon than in the left colon. Patients with right-sided colonic diverticulitis were younger than those with left-sided disease. Left-sided complicated colonic diverticulitis was associated with a higher incidence of peritonitis, longer hospital stay compared with right-sided
| Published | 2026-09-28 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 16 No. 5 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.5.976 | |
| Keywords | Viêm túi thừa đại tràng, viêm túi thừa đại tràng có biến chứng, phẫu thuật Hartmann |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
Turner G.A., O'Grady M.J., Purcell R.V., Frizelle F.A. The Epidemiology and Etiology of Right-Sided Colonic Diverticulosis: A Review. Ann Coloproctol. 2021 Aug;37(4):196-203.
Peery A.F., Keku T.O., Martin C.F., Eluri S., Runge T., Galanko J.A. et al. Distribution and Characteristics of Colonic Diverticula in a United States Screening Population. Clin Gastroenterol Hepatol. 2016 Jul;14(7):980-985.
Trần Ngọc Dũng, Nguyễn Xuân Minh. Kết quả điều trị viêm túi thừa đại tràng có biến chứng ĐH Y Hà Nội. Tạp chí Nghiên Cứu Y học. 2024. 180:223-32.
Kim S.H., Byun C.G., Cha J.W., Choi S.H., Kho Y.T., Seo D.Y. Comparative study of the clinical features and treatment for right and left colonic diverticulitis. J Korean Soc Coloproctol. 2010 Dec;26(6):407-12.
Sartelli M., Weber D.G., 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 J Emerg Surg. 2020 May 7;15(1):32.
Edomskis P.P., Hoek V.T., Stark P.W., Lambrichts D.P.V., Draaisma W.A., Consten E.C.J. et al. Hartmann's procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or fecal peritonitis: Three-year follow-up of. A randomised controlled trial. Int J Surg. 2022; Feb;98:106221.
Thái Nguyên Hưng, Trịnh Thành Vinh. Đánh giá kết quả phẫu thuật và phẫu thuật nội soi viêm túi thừa đại tràng. Tạp chí Y học Việt Nam. 2023; 528:352-7.
Isohata N., Nagata K., Utano K., Nozaki R., Nozu S., Kato T. et al. Recent trends in the prevalence and distribution of colonic diverticula in Japan evaluated using computed tomography colonography. World J Gastroenterol. 2021 Jul 21;27(27):4441-4452.
Phạm Đăng Tú, Võ Tấn Đức, Võ Thị Thúy Hằng. Đặc điểm hình ảnh X-quang cắt lớp vi tính của viêm túi thừa đại tràng. Y học Tp. Hồ Chí Minh 2019. 23 (1):201-206.
Rov A., Ben-Ari A., Barlev E., Pelcman D., Susmalian S., Paran H. Right-sided diverticulitis in a Western population. Int J Colorectal Dis. 2022 Jun;37(6):1251-1256.
Wegdam J.A., Andeweg C.S., van Vuuren T.M.A.J., Reilingh T.S.D.V., Zaag-Loonen H.J.V. et al. Disease course of right-sided and left-sided diverticulitis in a western population. J Gastrointest Dig Syst. 2016. 6:421.
Quách Văn Kiên, Đỗ Tới Nghĩa. Đánh giá kết quả điều trị biến chứng thủng do viêm túi thừa đại tràng tại BV Hữu Nghị Việt Đức. Tạp chí Y học Việt Nam 2024. 536:42-6.
Al-Saadi H., Abdulrasool H., Murphy E. Evaluation of clinical assessment in predicting complicated acute diverticulitis. Cureus. 2023 Feb 6;15(2):e34709.
Bolkenstein H.E., van de Wall B.J.M., Consten E.C.J., Broeders I.A.M.J., Draaisma W.A. Risk factors for complicated diverticulitis: systematic review and meta-analysis. Int J Colorectal Dis. 2017 Oct;32(10):1375-1383.
Nizri E., Spring S., Ben-Yehuda A., Khatib M., Klausner J., Greenberg R. C-reactive protein as a marker of complicated diverticulitis in patients on anti-inflammatory medications. Tech Coloproctol. 2014 Feb;18(2):145-9.
Haas J.M., Singh M., Vakil N. Mortality and complications following surgery for diverticulitis: Systematic review and meta-analysis. United European Gastroenterol J. 2016 Oct;4(5):706-713.