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S-1 : Do we need total colonoscopy in patients with acute diverticulitis on computed tomography?
( Yh Choi ),( Jp Im ),( Js Kim ),( Sj Koh ),( Jw Kim ),( Kl Lee ),( Bg Kim ) 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1
Background/Aims: Although colonoscopy verification is warranted after an acute event of diverticulitis to exclude underlying malignancy, little evidence is available to support the recommendations. The aim of this study was to evaluate the yield of a colonoscopy. Methods: From January 2001 to March 2013, patients in whom acute diverticulitis was diagnosed on CT scan were matched with colonoscopy reports within 1 year from the date of CT. Results: A radiological diagnosis of acute diverticulitis was made in 443 patients. One hundred forty-nine patients underwent subsequent colonoscopy within a year from the date of CT. There were no significant differences in clinical characteristics between patients with or without colonoscopy. 12 patients (8.1%) were diagnosed with colon cancer. Conclusion: Yield of colonic malignancy in this cohort was more than that detected on screening asymptomatic average-risk individuals. Patients with diverticulitis on CT are warrants endoscopic verification.Background/Aims: Although colonoscopy verification is warranted after an acute event of diverticulitis to exclude underlying malignancy, little evidence is available to support the recommendations. The aim of this study was to evaluate the yield of a colonoscopy. Methods: From January 2001 to March 2013, patients in whom acute diverticulitis was diagnosed on CT scan were matched with colonoscopy reports within 1 year from the date of CT. Results: A radiological diagnosis of acute diverticulitis was made in 443 patients. One hundred forty-nine patients underwent subsequent colonoscopy within a year from the date of CT. There were no significant differences in clinical characteristics between patients with or without colonoscopy. 12 patients (8.1%) were diagnosed with colon cancer. Conclusion: Yield of colonic malignancy in this cohort was more than that detected on screening asymptomatic average-risk individuals. Patients with diverticulitis on CT are warrants endoscopic verification.