Retrospective validation of a CT-grading system for acute complicated diverticulitis in the prediction of the need for operative or percutaneous intervention

AKY Fung, H Ahmeidat, D Mcateer, EH Aly

Research output: Contribution to journalArticle

Abstract

Aim: The current surgical management of complicated acute diverticulitis has seen a shift from operative intervention to conservative treatment. The availability and accessibility of computed tomography in the assessment of the acute surgical abdomen has enabled rapid diagnosis and could potentially guide its clinical management. In this study, we aimed to retrospectively validate a CT-grading system for acute complicated diverticulitis to determine its ability to predict the need for operative or percutaneous intervention
.Method:Patients with a discharge diagnosis of diverticulosis (ICD K57) were retrospectively identified by review of hospital records (August 2011 and need to know this figure from the authors X). The radiology records were then searched to identify patients who had CT-confirmed acute complicated diverticulitis. A consultant gastrointestinal radiologist blinded to the outcome of the clinical management reviewed these CTs and assigned a score according to the CT-grading system.This will be correlated with the patients’ clinical outcome to determine the grading-system’s predictive value.
Results: Of 1000 patients’ records were reviewed, and patients who had CT-confirmed acute complicated diverticulitis are currently being graded by a consultant GI radiologist to determine the predictive value of the grading system.Conclusion:The outcome of this study could guide decision-making in the management of acute complicated diverticulitis
Original languageEnglish
Article numberP151
Pages (from-to)46
Number of pages1
JournalColorectal Disease
Volume14
Issue numberS2
DOIs
Publication statusPublished - 2012

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Diverticulitis
Consultants
Acute Abdomen
Aptitude
Hospital Records
Diverticulum
Radiology
Decision Making
Tomography
Outcome Assessment (Health Care)

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title = "Retrospective validation of a CT-grading system for acute complicated diverticulitis in the prediction of the need for operative or percutaneous intervention",
abstract = "Aim: The current surgical management of complicated acute diverticulitis has seen a shift from operative intervention to conservative treatment. The availability and accessibility of computed tomography in the assessment of the acute surgical abdomen has enabled rapid diagnosis and could potentially guide its clinical management. In this study, we aimed to retrospectively validate a CT-grading system for acute complicated diverticulitis to determine its ability to predict the need for operative or percutaneous intervention.Method:Patients with a discharge diagnosis of diverticulosis (ICD K57) were retrospectively identified by review of hospital records (August 2011 and need to know this figure from the authors X). The radiology records were then searched to identify patients who had CT-confirmed acute complicated diverticulitis. A consultant gastrointestinal radiologist blinded to the outcome of the clinical management reviewed these CTs and assigned a score according to the CT-grading system.This will be correlated with the patients’ clinical outcome to determine the grading-system’s predictive value.Results: Of 1000 patients’ records were reviewed, and patients who had CT-confirmed acute complicated diverticulitis are currently being graded by a consultant GI radiologist to determine the predictive value of the grading system.Conclusion:The outcome of this study could guide decision-making in the management of acute complicated diverticulitis",
author = "AKY Fung and H Ahmeidat and D Mcateer and EH Aly",
year = "2012",
doi = "10.1111/j.1463-1318.2012.03157.x",
language = "English",
volume = "14",
pages = "46",
journal = "Colorectal Disease",
issn = "1462-8910",
publisher = "WILEY-BLACKWELL",
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TY - JOUR

T1 - Retrospective validation of a CT-grading system for acute complicated diverticulitis in the prediction of the need for operative or percutaneous intervention

AU - Fung, AKY

AU - Ahmeidat, H

AU - Mcateer, D

AU - Aly, EH

PY - 2012

Y1 - 2012

N2 - Aim: The current surgical management of complicated acute diverticulitis has seen a shift from operative intervention to conservative treatment. The availability and accessibility of computed tomography in the assessment of the acute surgical abdomen has enabled rapid diagnosis and could potentially guide its clinical management. In this study, we aimed to retrospectively validate a CT-grading system for acute complicated diverticulitis to determine its ability to predict the need for operative or percutaneous intervention.Method:Patients with a discharge diagnosis of diverticulosis (ICD K57) were retrospectively identified by review of hospital records (August 2011 and need to know this figure from the authors X). The radiology records were then searched to identify patients who had CT-confirmed acute complicated diverticulitis. A consultant gastrointestinal radiologist blinded to the outcome of the clinical management reviewed these CTs and assigned a score according to the CT-grading system.This will be correlated with the patients’ clinical outcome to determine the grading-system’s predictive value.Results: Of 1000 patients’ records were reviewed, and patients who had CT-confirmed acute complicated diverticulitis are currently being graded by a consultant GI radiologist to determine the predictive value of the grading system.Conclusion:The outcome of this study could guide decision-making in the management of acute complicated diverticulitis

AB - Aim: The current surgical management of complicated acute diverticulitis has seen a shift from operative intervention to conservative treatment. The availability and accessibility of computed tomography in the assessment of the acute surgical abdomen has enabled rapid diagnosis and could potentially guide its clinical management. In this study, we aimed to retrospectively validate a CT-grading system for acute complicated diverticulitis to determine its ability to predict the need for operative or percutaneous intervention.Method:Patients with a discharge diagnosis of diverticulosis (ICD K57) were retrospectively identified by review of hospital records (August 2011 and need to know this figure from the authors X). The radiology records were then searched to identify patients who had CT-confirmed acute complicated diverticulitis. A consultant gastrointestinal radiologist blinded to the outcome of the clinical management reviewed these CTs and assigned a score according to the CT-grading system.This will be correlated with the patients’ clinical outcome to determine the grading-system’s predictive value.Results: Of 1000 patients’ records were reviewed, and patients who had CT-confirmed acute complicated diverticulitis are currently being graded by a consultant GI radiologist to determine the predictive value of the grading system.Conclusion:The outcome of this study could guide decision-making in the management of acute complicated diverticulitis

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JF - Colorectal Disease

SN - 1462-8910

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