Table 5.
Uncomplicated acute diverticulitis (Wasvary Ia) management
| Question | Answer | Total (no. 403) | No. of colectomies | Years of experience | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0–50 (no. 302) | > 50 (no. 101) | p | ≤ 5 (no. 254) | > 5 (no. 149) | p | ||||||||
| No. | % | No. | % | No. | % | No. | % | No. | % | ||||
| Question 11 | Outpatient. no Ab | 13 | 3.2 | 8 | 2.6 | 5 | 5.0 | 0.122 | 5 | 2.0 | 8 | 5.4 | 0.074 |
| Outpatient. oral Ab | 167 | 41.4 | 129 | 42.7 | 38 | 37.6 | 112 | 44.1 | 55 | 36.9 | |||
| Hospitalized. IV Ab. no fasting | 74 | 18.4 | 61 | 20.2 | 13 | 12.9 | 51 | 20.1 | 23 | 15.4 | |||
| Hospitalized. IV Ab. fasting | 147 | 36.5 | 103 | 34.1 | 44 | 43.6 | 86 | 33.9 | 61 | 40.9 | |||
| Other | 2 | 0.5 | 1 | 0.3 | 1 | 1.0 | 0 | 0.0 | 2 | 1.3 | |||
| Question 12 | Virtual colonscopy (or contrast enema enhanced CT) after 60 days | 15 | 3.7 | 6 | 2.0 | 9 | 8.9 | 0.002 | 6 | 2.4 | 9 | 6.0 | 0.111 |
| Virtual colonoscopy (or contrast enema enhanced CT) after 30 days | 24 | 6.0 | 14 | 4.6 | 10 | 9.9 | 12 | 4.7 | 12 | 8.1 | |||
| Colonscopy after 30 days | 169 | 41.9 | 132 | 43.7 | 37 | 36.6 | 112 | 44.1 | 57 | 38.3 | |||
| Colonscopy after 60 days | 189 | 46.9 | 145 | 48.0 | 44 | 43.6 | 121 | 47.6 | 68 | 45.6 | |||
| Other | 6 | 1.5 | 5 | 1.7 | 1 | 1.0 | 3 | 1.2 | 3 | 2.0 | |||
Bold in the tables are statistically significant values
Question 11 = AD with sigmoid thickening at CT scan (Wasvary Ia), symptomatic stable patient (38 °C hyperpyrexia, elective pain, localized rebound tenderness) in good conditions. Management?
Question 12 = What delayed investigation to exclude colon cancer?
Ab antibiotics, IV intravenous, d days