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2025, Number 1

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Rev Med UAS 2025; 15 (1)

Predictors of severity for acute diverticular disease

Gaxiola-López CL, Bolívar-Rodríguez MA, Montoya-Moreno M

Language: Spanish
References: 28
Page: 6-16
PDF size: 287.94 Kb.


ABSTRACT

Objective: Determine the frequency of predictors of severity for acute diverticular disease. Methodology: An observational, descriptive, cross-sectional, retrospective, Descriptive Survey type study was carried out, period included: March 2021 to February 2024 at the Civil Hospital of Culiacán. The clinical records of hospitalized patients with a diagnosis of acute diverticulitis were taken into account, classifying the disease using C-Reactive Protein and abdominal Tomography, through these to determine its stage of severity and possible complication. Results: Total 45 patients, 4 excluded: 2 due to a diagnosis other than acute diverticulitis and 2, ‹ 30 years old. Total of 41, of which 18 (43.9%) were men and 23 (56.1%) women, ages between 30 and 84 years, average 57 years. For treatment, the following intervention modalities were identified: open surgery in 20 patients (48.8%), laparoscopic surgery in 3 patients (7.3%), non-surgical treatment in 18 patients (43.9%). Exclusively medical, applied to 18 patients (43.9%), Hartmann procedure in 15 patients (36.58%), resection and anastomosis in 7 patients (17.07%) and percutaneous puncture in 1 patient (2.43% ). Reinterventions 7 (17.1%). 0% mortality. 27 (65.85%) classified as non-severe and 14 patients (34.14%) as severe by CT, CRP › 150 mg/dl in 20 patients (48.78%) in the severe group and in 21 patients (51. 21%) of the nonserious group. Conclusions: (CT) and C-reactive protein (CRP), together with the characteristic clinical picture of the patient with diverticular disease, are both diagnostic factors and predictors of severity, complications and prognosis, determining factors in deciding medical-surgical treatment.


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