Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 9 , ISSUE 3 ( September-December, 2020 ) > List of Articles

ORIGINAL RESEARCH

¿Ha cambiado la epidemiología de la Diverticulitis Aguda en los servicios de urgencia? Experiencia en un hospital de alto nivel de complejidad de Sur América

Mónica Martínez-Mardones, Heinz Dauelsberg, Vicente Hernández-Peña, Anamaría Pacheco, Veronica Azabache, Josseline Peña, Valentina Garlaschi, Bárbara Valle, Paula Cornejo, Paz Alejandra Rodríguez

Keywords : Acute diverticulitis, Complicated diverticulitis, Diverticular disease epidemiology, Emergency diverticulitis

Citation Information : Martínez-Mardones M, Dauelsberg H, Hernández-Peña V, Pacheco A, Azabache V, Peña J, Garlaschi V, Valle B, Cornejo P, Rodríguez PA. ¿Ha cambiado la epidemiología de la Diverticulitis Aguda en los servicios de urgencia? Experiencia en un hospital de alto nivel de complejidad de Sur América. Panam J Trauma Crit Care Emerg Surg 2020; 9 (3):213-217.

DOI: 10.5005/jp-journals-10030-1290

License: CC BY-NC 4.0

Published Online: 15-01-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Acute diverticulitis (AD) is a frequent diagnosis in the emergency services. In recent years, there has been a change in the epidemiology profile of this disease. The main objective is to assess whether there has been a change in the epidemiology of AD in our center, with an emphasis on complicated acute diverticulitis (CAD). Materials and methods: Retrospective descriptive study of patients admitted with diagnosis of acute diverticulitis to the Public Assistance Emergency Hospital, between January 2011 and December 2016. Demographic, clinical, and mortality variables are described. Results: Of 54,454 total discharges, 368 (0.7%) cases correspond to AD; 65% are women, with a median age of 61 years; 24.7% of AD occur in those younger than 50 years, with male predominance (78%); and 88 patients (24%) correspond to complicated acute diverticulitis (CAD). Of these, 45 (51.13%) patients presented with peritonitis, 22.2% corresponding to those under 50 years of age. Regarding Hinchey, 26 (29.54%) patients were classified as Hinchey I; 19.31% in Hinchey II, 34.09% Hinchey III and 17.04% Hinchey IV. The treatment of CAD included medical management was performed in 39.8% of cases and invasive procedures, the most frequent being Hartmann´s procedure (31.8%). Conclusion: The increase in perforated diverticulitis and the incidence under 50 years of age stand out, being mainly men. This accounts for the epidemiological change in CAD, with an increase in cases in younger patients, with more serious complications, however, with a better prognosis.


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