Letter to the Editor
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Sep 16, 2020; 12(9): 320-322
Published online Sep 16, 2020. doi: 10.4253/wjge.v12.i9.320
Comment on: Should a colonoscopy be offered routinely to patients with CT proven acute diverticulitis? A retrospective cohort study and meta-analysis of best available evidence
Jeremy Meyer, Nicolas Christian Buchs, Boris Schiltz, Emilie Liot, Frédéric Ris
Jeremy Meyer, Nicolas Christian Buchs, Boris Schiltz, Emilie Liot, Frédéric Ris, Division of Digestive Surgery, University Hospitals of Geneva, Genève 1211, Switzerland
Author contributions: Meyer J conceived the letter and wrote the draft of the manuscript; Meyer J, Buchs NC, Schiltz B, Liot E and Ris F reviewed and accepted the manuscript.
Conflict-of-interest statement: The authors have no conflict of interest to declare.
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: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jeremy Meyer, MD, PhD, Surgeon, Division of Digestive Surgery, University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, Genève 1211, Switzerland. jeremy.meyer@hcuge.ch
Received: April 20, 2020
Peer-review started: April 20, 2020
First decision: June 15, 2020
Revised: August 16, 2020
Accepted: August 31, 2020
Article in press: August 31, 2020
Published online: September 16, 2020
Abstract

Latest evidence indicates that patients with acute diverticulitis have higher prevalence of colorectal cancer than reference patients. Therefore, colonoscopy should be offered after an episode of acute diverticulitis.

Keywords: Colorectal cancer, Adenoma, Polyp, Diverticulitis, Colonoscopy, Endoscopy

Core Tip: In a recent meta-analysis, we reported higher prevalences of polyp, adenoma, advanced adenoma and colorectal cancer in patients with diverticulitis than the prevalences reported by Asaad et al. Further, evidence indicates that the 1-year incidence of colorectal cancer is higher in patients with diverticulitis than in reference patients. Therefore, we believe that colonoscopy should be offered after an episode of diverticulitis, in opposition with the conclusion reached by the authors.