Imperial College London
Alternate

Chris Rao

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Research Fellow
 
 
 
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Contact

 

christopher.rao Website

 
 
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Summary

 

Publications

Citation

BibTex format

@article{O'Donohoe:2019:10.1038/s41598-019-56641-2,
author = {O'Donohoe, N and Chandak, P and Likos-Corbett, M and Yee, J and Hurndall, K and Rao, C and Engledow, AH},
doi = {10.1038/s41598-019-56641-2},
journal = {Scientific Reports},
pages = {1--4},
title = {Follow up colonoscopy may be omissible in uncomplicated left-ided acute diverticulitis diagnosed with CT- a retrospective cohort study},
url = {http://dx.doi.org/10.1038/s41598-019-56641-2},
volume = {9},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - International guidelines recommend colonoscopy following hospitalisation for acute diverticulitis. There is a paucity of evidence supporting the efficacy of colonoscopy in this context, particularly for patients with CT-diagnosed uncomplicated left-sided diverticulitis. This study aims to investigate the frequency that colorectal cancer (CRC) and advanced adenomas (AA) are identified during follow-up colonoscopy after hospitalisation with CT-proven left-sided diverticulitis for the first time in a UK population. In this single-centre retrospective-cohort study all patients presenting with CT-diagnosed uncomplicated left-sided diverticulitis between 2014 and 2017 were identified. The incidence of histologically confirmed CRC and AA identified at follow-up colonoscopy 4–6 weeks following discharge was assessed. 204 patients with CT proven uncomplicated left-sided diverticulitis underwent follow-up colonoscopy. 72% were female and the median age was 63 years. There were no major complications. 22% of patients were found to have incidental hyperplastic polyps or adenomas with low-grade dysplasia. No CRC or AA were found. Routine colonoscopy following acute diverticulitis in this cohort did not identify a single CRC or AA and could arguably have been omitted. This would significantly reduce cost and pressure on endoscopy departments, in addition to the pain and discomfort that is commonly associated with colonoscopy.
AU  - O'Donohoe,N
AU  - Chandak,P
AU  - Likos-Corbett,M
AU  - Yee,J
AU  - Hurndall,K
AU  - Rao,C
AU  - Engledow,AH
DO  - 10.1038/s41598-019-56641-2
EP  - 4
PY  - 2019///
SN  - 2045-2322
SP  - 1
TI  - Follow up colonoscopy may be omissible in uncomplicated left-ided acute diverticulitis diagnosed with CT- a retrospective cohort study
T2  - Scientific Reports
UR  - http://dx.doi.org/10.1038/s41598-019-56641-2
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000509340400006&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://www.nature.com/articles/s41598-019-56641-2
UR  - http://hdl.handle.net/10044/1/86505
VL  - 9
ER  -
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