PDF(Pubmed)
Abstract：
Some management strategies for acute colonic diverticulitis remain controversial in Korean real-world practice because their clinical features differ from those in the West. This study aimed to investigate the opinions of Korean physicians regarding the diagnosis and treatment of acute diverticulitis.
A web-based survey was conducted among gastroenterologists specializing on treating lower gastrointestinal disorders. The questionnaires concerned overall management strategies for colonic diverticulitis, including diagnosis, treatment, and follow-up.
In total, 209 gastroenterologists responded to the survey. Less than one-fourth of the respondents (23.6%) answered that left-sided colonic diverticulitis is more likely to be complicated than right-sided colonic diverticulitis. Most respondents agreed that immunocompromised patients with diverticulitis have worse clinical outcomes than immunocompetent patients (71.3%). Computed tomography was the most preferred tool for diagnosing diverticulitis (93.9%). Approximately 89% of the respondents answered that they believed antibiotic treatment is necessary to treat acute uncomplicated diverticulitis. Most respondents (92.6%) agreed that emergency surgery is not required for diverticulitis with an abscess or microperforation without panperitonitis. Further, 94.7% of the respondents agreed that colon cancer screening is necessary in patients aged ≥ 50 years with diverticulitis after they have recovered from acute illness. Many respondents (71.4%) agreed that surgery for recurrent diverticulitis should be individualized.
Opinions regarding management strategies for colonic diverticulitis among Korean gastroenterologists were well agreed upon in some areas but did not agree well in other areas. Evidence-based guidelines that meet the practical needs of the Korean population should be developed.
A web-based survey was conducted among gastroenterologists specializing on treating lower gastrointestinal disorders. The questionnaires concerned overall management strategies for colonic diverticulitis, including diagnosis, treatment, and follow-up.
In total, 209 gastroenterologists responded to the survey. Less than one-fourth of the respondents (23.6%) answered that left-sided colonic diverticulitis is more likely to be complicated than right-sided colonic diverticulitis. Most respondents agreed that immunocompromised patients with diverticulitis have worse clinical outcomes than immunocompetent patients (71.3%). Computed tomography was the most preferred tool for diagnosing diverticulitis (93.9%). Approximately 89% of the respondents answered that they believed antibiotic treatment is necessary to treat acute uncomplicated diverticulitis. Most respondents (92.6%) agreed that emergency surgery is not required for diverticulitis with an abscess or microperforation without panperitonitis. Further, 94.7% of the respondents agreed that colon cancer screening is necessary in patients aged ≥ 50 years with diverticulitis after they have recovered from acute illness. Many respondents (71.4%) agreed that surgery for recurrent diverticulitis should be individualized.
Opinions regarding management strategies for colonic diverticulitis among Korean gastroenterologists were well agreed upon in some areas but did not agree well in other areas. Evidence-based guidelines that meet the practical needs of the Korean population should be developed.
摘要：
急性结肠憩室炎的一些管理策略在韩国现实世界的实践中仍然存在争议，因为它们的临床特征与西方不同。本研究旨在调查韩国医生对急性憩室炎的诊断和治疗的看法。
■在专门治疗下胃肠道疾病的胃肠病学家中进行了一项基于网络的调查。问卷涉及结肠憩室炎的整体管理策略，包括诊断,治疗,和后续行动。
■总共，209家胃肠病学家回应了调查。不到四分之一的受访者（23.6％）回答左侧结肠憩室炎比右侧结肠憩室炎更容易复杂。大多数受访者认为免疫功能低下的憩室炎患者的临床结果比免疫功能正常的患者差（71.3％）。计算机断层扫描是诊断憩室炎的首选工具（93.9%）。大约89%的受访者回答说，他们认为抗生素治疗对于治疗急性非复杂性憩室炎是必要的。大多数受访者（92.6％）认为，伴有脓肿或无腹膜炎的微穿孔的憩室炎不需要急诊手术。Further,94.7％的受访者认为，年龄≥50岁的憩室炎患者从急性疾病中康复后，有必要进行结肠癌筛查。许多受访者（71.4％）同意复发性憩室炎的手术应个体化。
韩国胃肠病学家关于结肠憩室炎管理策略的观点在某些领域达成了一致，但在其他领域并不一致。应制定符合韩国人民实际需要的循证准则。
■在专门治疗下胃肠道疾病的胃肠病学家中进行了一项基于网络的调查。问卷涉及结肠憩室炎的整体管理策略，包括诊断,治疗,和后续行动。
■总共，209家胃肠病学家回应了调查。不到四分之一的受访者（23.6％）回答左侧结肠憩室炎比右侧结肠憩室炎更容易复杂。大多数受访者认为免疫功能低下的憩室炎患者的临床结果比免疫功能正常的患者差（71.3％）。计算机断层扫描是诊断憩室炎的首选工具（93.9%）。大约89%的受访者回答说，他们认为抗生素治疗对于治疗急性非复杂性憩室炎是必要的。大多数受访者（92.6％）认为，伴有脓肿或无腹膜炎的微穿孔的憩室炎不需要急诊手术。Further,94.7％的受访者认为，年龄≥50岁的憩室炎患者从急性疾病中康复后，有必要进行结肠癌筛查。许多受访者（71.4％）同意复发性憩室炎的手术应个体化。
韩国胃肠病学家关于结肠憩室炎管理策略的观点在某些领域达成了一致，但在其他领域并不一致。应制定符合韩国人民实际需要的循证准则。
