Epifani AG, Cassini D, Cirocchi R, Accardo C, Di Candido F, Ardu M, Baldazzi G. Right sided diverticulitis in western countries: A review. World J Gastrointest Surg 2021; 13(12): 1721-1735 [PMID: 35070076 DOI: 10.4240/wjgs.v13.i12.1721]
Corresponding Author of This Article
Diletta Cassini, MD, PhD, Surgeon, Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, Viale G Matteotti 83-20099 Sesto San Giovanni (Milan), Sesto San Giovanni 20099, Italy. diletta_cassini@yahoo.it
Research Domain of This Article
Surgery
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Angelo Gabriele Epifani, Caterina Accardo, Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, University of Milan, Sesto San Giovanni 20099, Italy
Diletta Cassini, Francesca Di Candido, Massimiliano Ardu, Gianandrea Baldazzi, Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, Sesto San Giovanni 20099, Italy
Roberto Cirocchi, Department of General and Oncological Surgery, University of Perugia, Perugia 06123, Italy
Author contributions: Cassini D designed the research; Epifani AG and Cirocchi R performed the research and wrote the paper; Accardo C and Epifani AG analysed the data; Cirocchi R, Baldazzi G, Di Candido F and Ardu M supervised the paper; All authors read and approved the final manuscript.
Conflict-of-interest statement: All the authors declare that they have no competing interests.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Diletta Cassini, MD, PhD, Surgeon, Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, Viale G Matteotti 83-20099 Sesto San Giovanni (Milan), Sesto San Giovanni 20099, Italy. diletta_cassini@yahoo.it
Received: March 30, 2021 Peer-review started: March 30, 2021 First decision: May 13, 2021 Revised: May 28, 2021 Accepted: November 30, 2021 Article in press: November 30, 2021 Published online: December 27, 2021
ARTICLE HIGHLIGHTS
Research background
Right sided diverticulitis is very frequent in Asian countries, while in western countries it has always been considered very rare. On the other hand, in recent studies, the condition has been shown to be increasing in recent years.
Research motivation
Despite this rapid spread, there are no clear guidelines on the management of RSD. Until now, their management has been based on knowledge gained from left sided diverticulitis.
Research objectives
The authors therefore wanted to analyze the studies in the literature to have a broader and deeper point of view to understand what could be the correct management.
Research methods
The authors analyzed the articles from western countries starting from 1990 in which the management and the subsequent outcome of right sided diverticulitis were shown.
Research results
The authors found that most cases of right colonic diverticulitis are treated effectively with non-operative management, reserving surgical treatment especially for complicated cases. Recurrences have a low rate and are also successfully treated conservatively.
Research conclusions
Right sided diverticulitis has a similar management in both western and Asian countries.
Research perspectives
Further studies will serve to identify more precisely which cases should be reserved for surgical treatment.
