Back to resultsTreatment in Right Colon Diverticulitis Patients
Primary Purpose
Outcome
Status
Completed
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Failure conservative treatment
Surgery
Conservative treatment
Sponsored by
About this trial
This is an interventional treatment trial for Outcome focused on measuring diverticulum, surgery, appendicitis, sigmoid volvulus, caecum, diverticulitis
Eligibility Criteria
Inclusion Criteria:
- diagnosed with right colon diverticulitis
Exclusion Criteria:
- Left colon diverticulitis
- Right colon diverticulitis detected incidentally
- lacking data
Sites / Locations
- Tepecik Training and Research Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Other
Other
Arm Label
Conservative treatment
Operative treatment
Arm Description
Conservative treatment stopping oral intake, intravenous antibiotic therapy.
Operative procedure Right hemicolectomy Wedge resection of cecum Diverticulectomy + appendectomy Diverticulectomy Appendectomy + drainage
Outcomes
Primary Outcome Measures
Number of Participants with mortality
mortality
Number of Participants with wound infection
wound infection
Secondary Outcome Measures
Full Information
NCT ID
NCT04746326
First Posted
January 29, 2021
Last Updated
February 5, 2021
Sponsor
Tepecik Training and Research Hospital
1. Study Identification
Unique Protocol Identification Number
NCT04746326
Brief Title
Treatment in Right Colon Diverticulitis Patients
Official Title
Operative and Conservative Treatment in Right Colon Diverticulitis Patients
Study Type
Interventional
2. Study Status
Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
January 1, 2020 (Actual)
Primary Completion Date
January 1, 2021 (Actual)
Study Completion Date
January 20, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tepecik Training and Research Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy.
Detailed Description
The right colon diverticula, unlike those in the left colon, contain all layers of the colon and is called the true diverticulum. Perforation is observed less frequently due to its full thickness. Conservative treatment can be applied unless complications such as abscess formation and free perforation occur. Here, we aimed to discuss the results of conservative and surgical treatment for right colon diverticulitis in the light of the literature. 150 patients treated for colon diverticulitis between 2015-2020 were retrospectively screened. Right colon diverticulitis detected incidentally, missing data, and left colon diverticulitis were excluded from the study. Data of a total of 26 patients were accessed. Unlike the left, right colon diverticulitis has low complications and can be treated conservatively. The differential diagnosis of right colon diverticulitis should be kept in mind in order to prevent unnecessary surgeries. Surgical treatment is inevitable in cases such as recurrent diverticulitis, generalized peritonitis, and suspected malignancy
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Outcome
Keywords
diverticulum, surgery, appendicitis, sigmoid volvulus, caecum, diverticulitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Conservative treatment, Operative treatment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
26 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Conservative treatment
Arm Type
Other
Arm Description
Conservative treatment stopping oral intake, intravenous antibiotic therapy.
Arm Title
Operative treatment
Arm Type
Other
Arm Description
Operative procedure Right hemicolectomy Wedge resection of cecum Diverticulectomy + appendectomy Diverticulectomy Appendectomy + drainage
Intervention Type
Procedure
Intervention Name(s)
Failure conservative treatment
Intervention Description
Surgery was performed in patients who failed conservative treatment.
Intervention Type
Procedure
Intervention Name(s)
Surgery
Intervention Description
Surgery was performed in patients who had generalized peritonitis and perforation.
Intervention Type
Other
Intervention Name(s)
Conservative treatment
Intervention Description
Conservative treatment was performed in patients who had no generalized peritonitis and perforation.
Primary Outcome Measure Information:
Title
Number of Participants with mortality
Description
mortality
Time Frame
up to 24 weeks
Title
Number of Participants with wound infection
Description
wound infection
Time Frame
up to 24 weeks
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
diagnosed with right colon diverticulitis
Exclusion Criteria:
Left colon diverticulitis
Right colon diverticulitis detected incidentally
lacking data
Facility Information:
Facility Name
Tepecik Training and Research Hospital
City
İzmir
ZIP/Postal Code
35180
Country
Turkey
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Treatment in Right Colon Diverticulitis Patients
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