Post-colonoscopy diverticulitis: A systematic review

Table 1 All the cases of post-colonoscopy diverticulitis reported in the literature from January 1980 to June 2020

Ref.	Type of study	Number of patient (s)	Age	Gender	Type of colonoscopy	Incomplete (I) vs Complete (C)	Reason for colonoscopy	Other concurrent intervention	Diagnosis of Post-colonoscopy diverticulitis	Findings on CT	Duration to diagnosis after scope	Symptoms	Biochemistry	Management
Levin et al[8]/United States/2006	Retrospective	6/16318	-	-	C	-	Screening or surveillance	Biopsy (n = 5)	-	-	Within 30 d	-	-	Inpatient antibiotics (n = 4), surgery (n = 2)
Ko et al[1]/ United States/2010	Prospective	23/21375	-	-	C	-	Screening and surveillance	-	Self-reported	-	Within 30 d	-	-	-
Rutter et al[10]/ United States /2012	Retrospective	82/43456	-	-	C	-	Screening and surveillance	Polypectomy (n = 41)	-	-	-	-	-	-
Park et al[13]/Korea/2013	Case report	1	44	M	C	C	Surveillance	Polypectomy and EMR	CT scan	Uncomplicated diverticulitis	2 h	Abdominal pain and fever	Normal WCC	Inpatient intravenous antibiotics
Lin et al[9]/Taiwan/2017	Retrospective	156/112543	-	-	C and F	-	Diagnostics and interventional	Biopsy (n = 6)	-	-	-	-	-	-
Park et al[14]/Korea/2016	Case report	1	65	M	C	C	Surveillance	Polypectomy	CT scan	Uncomplicated diverticulitis	48 h	Epigastric and left upper quadrant pain	Elevated WCC and CRP	Inpatient intravenous antibiotics
Gorgun et al[7]/ United States/2018	Retrospective	68/236377	56 (mean)	M:F = 25:43	C	I:C = 13:55	-	Polypectomy (n = 26)	CT scan	Uncomplicated (n = 62); Complicated diverticulitis (n = 6)	12 ± 8 d	Abdominal pain (n = 26), nausea/vomiting (n = 12), fever (n = 5), diarrhea (n = 5), chills (n = 3), PR bleeding (n = 2)	Elevated WCC	Antibiotics (n = 60), emergency surgery (n = 6), percutaneous drainage (n = 2)
Hudson et al[12]/Australia/2019	Case report	1	50	M	C	C	Diagnostics	Polypectomy	CT scan	Uncomplicated diverticulitis	16 d	PR bleeding, generalized abdominal pain	Elevated CRP	Inpatient intravenous antibiotics
Mohan et al[11]/ United States/2019	Case report	1	59	F	C	C	Screening	Polypectomy	CT scan	Uncomplicated diverticulitis	48 h	Left lower quadrant abdominal pain	Elevated WCC	Outpatient oral antibiotics

M: Male; F (gender): Female; CT: Computed tomography; C: Colonoscopy; F: Flexible sigmoidoscopy; WCC: White cell count; CRP: C-reactive protein.