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IDDF2019-ABS-0021 Diagnostic colonoscopy for diverticular disease in ub songdo hospital
Зохиогч
Он
2019 оны зургаадугаар сарын 1
Төрөл
conference paper
Journal
Clinical Gastroenterology
Start Page
A63.2
End Page
A63
Хураангуй
Background Colonic diverticulum rises on blood vessel penetration site of colonic smooth muscle through the herniation process. Commonly asymptomatic and found incidentally during colonoscopy. But it could turn in to life-threatening disease once bleeding, inflammation or perforation occurs. The aims of this study were to detect the incidence of complicated diverticular disease and diagnostic accuracy of colonoscopy in diverticular disease compared with abdominal contrast-enhanced computed tomography (CT). Methods This retrospective study included a total of 321 patients with colonic diverticulum diagnosed by lower gastrointestinal endoscopy within the past 8 years in Gastroenterology and Endoscopy department of Ulaanbaatar Songdo Hospital, Ulaanbaatar city, Mongolia. The borderline between the proximal and distal colon was splenic flexure. Chi-square and student t-test were used to differentiate the two groups. P>0.05 was statistically significant. Results The mean age of patients with colonic diverticulosis 58.67±14.45 and incident of diverticulosis increased in elderly patients ( t=-4.439; P<0.001) and female were predominant (λ2=78.82; P<0.001). Diverticulitis is a common complication and more frequently in patients with distal diverticulosis group (λ2=9.97; P<0.001), diverticular bleeding more frequently in patients with proximal diverticulosis (λ2=13.49; P<0.001) (table 1). Age, gender, complicated diverticular diseases divided by location of colonic diverticulosis is shown in table 2. Distal diverticulosis was predominant in female patients group and proximal diverticulosis was predominant in male patients group (table 2). A total number of 79 patients were examined by both colonoscopy and CT together in approximate time. But 72.2% of results have missed the diverticulum and 22.2% of diverticulitis cases were misdiagnosed by suspected colonic cancer. Conclusions The incidence of complicated diverticular disease around 6.5% in patients with colonic diverticulosis. The diverticulitis occurs more frequently than diverticular associated bleeding. The colonoscopy has higher diagnostic accuracy for colonic diverticulosis and complicated diverticular disease compared with abdominal contrast-enhanced computed tomography.