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CompletedNCT06153030Updated Dec 1, 2023

Unexpected Diagnosis in Right Lower Quadrant Pain: Right Colon Diverticulitis

An observational study in Diverticulitis, Colonic, sponsored by Haydarpasa Numune Training and Research Hospital. Completed at 1 site in Turkey. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-01.

Sponsored by Haydarpasa Numune Training and Research Hospital · Observational

Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
20
Ages
18 Years and older
Sex
All
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Study summary

BACKGROUND: Acute right lower quadrant pain is a common symptom in emergency departments. The most common etiology is thought to be acute appendicitis. Other etiologies may be overlooked. Acute right colon diverticulitis is one of them. It is usually seen in male and young patients. It is more common in Asian population and rare in Western countries. Ultrasonography (USG) and computed tomography (CT) are used for radiologic diagnosis.

OBJECTIVES: The aim of this study was to investigate the diagnosis, treatment and surgical management of right colon diverticulitis.

Read the detailed description

DESIGN: Retrospective cross-sectional analysis SETTING: Research and training hospital (Tertiary care center) In our study, patients hospitalized in our hospital clinic between 2018 and 2022 with the diagnosis of right colon diverticulitis were retrospectively analyzed. Age, gender, WSES grade, whether surgery was performed or not, laboratory values, iv antibiotherapies given, length of hospitalization and mortality were evaluated.

MAIN OUTCOME MEASURES: The CRP, the need for surgical intervention vs conservative treatment .

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Conditions studied

  • Diverticulitis, Colonic

Keywords

  • acute diverticulitis
  • right colon
  • emergency
  • pain
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In context

Diverticulitis, Colonic

27 studies on the registry are indexed under Diverticulitis, Colonic; 8 are open to participants now.

This study's enrollment of 20 is below the median of 250 across 15 observational studies indexed under Diverticulitis, Colonic.

Browse Diverticulitis, Colonic studies →

Lead sponsor

Haydarpasa Numune Training and Research Hospital is the lead sponsor of 33 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients diagnosed with right colonic diverticulitis between the years of 2018-2022

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients diagnosed with right colonic diverticulitis

Exclusion criteria

Exclusion Criteria:

  • \<18 years of age
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Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
20 participants (actual)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • Patient with right colonic diverticulitis

    Other: no intervention

Interventions

  • Otherno intervention

    No intervention

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What researchers measure

Primary outcomes

  1. The need for surgical intervention

    The patients were followed up conservatively if they had their diagnosis in the acute settings.

    Time frame: time frame is the length of stay usually between 1-14 days

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Study locations

1 site
  • Haydarpasa Numune Training and Research Hospital
    Üsküdar, Istanbul 34668, Turkey
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References and documents

Publications

  • Turner GA, O'Grady MJ, Purcell RV, Frizelle FA. The Epidemiology and Etiology of Right-Sided Colonic Diverticulosis: A Review. Ann Coloproctol. 2021 Aug;37(4):196-203. doi: 10.3393/ac.2021.00192.0027. Epub 2021 Jul 21. PubMed 34284562 ↗
  • Papatriantafyllou A, Dedopoulou P, Soukouli K, Karioris I, Tsochatzis S. Right-Sided Diverticulitis: A Rare Cause of Right-Sided Abdominal Pain. Cureus. 2023 Apr 4;15(4):e37123. doi: 10.7759/cureus.37123. eCollection 2023 Apr. PubMed 37153306 ↗
  • Ma Z, Liu W, Zhou J, Yao L, Xie W, Su M, Yang J, Shao J, Chen J. Management and long-term outcomes of acute right colonic diverticulitis and risk factors of recurrence. BMC Surg. 2022 Apr 7;22(1):132. doi: 10.1186/s12893-022-01578-z. PubMed 35392887 ↗
  • Kahveci S, Tokmak TT, Yildirim A, Mavili E. Acute right-sided colonic diverticulitis mimicking appendicitis: a report of two cases. J Clin Ultrasound. 2013 May;41(4):238-41. doi: 10.1002/jcu.21967. Epub 2012 Aug 1. PubMed 22855407 ↗
  • Shin JH, Son BH, Kim H. Clinically distinguishing between appendicitis and right-sided colonic diverticulitis at initial presentation. Yonsei Med J. 2007 Jun 30;48(3):511-6. doi: 10.3349/ymj.2007.48.3.511. PubMed 17594161 ↗
  • Lee JH, Ahn BK, Lee KH. Conservative treatment of uncomplicated right-sided diverticulitis: a systematic review and meta-analysis. Int J Colorectal Dis. 2021 Aug;36(8):1791-1799. doi: 10.1007/s00384-021-03913-x. Epub 2021 Mar 25. PubMed 33765173 ↗
  • Park SM, Kwon TS, Kim DJ, Lee YS, Cheung DY, Oh ST, Kim JG, Lee IK. Prediction and management of recurrent right colon diverticulitis. Int J Colorectal Dis. 2014 Nov;29(11):1355-60. doi: 10.1007/s00384-014-1938-3. Epub 2014 Jul 6. PubMed 24997717 ↗
  • Park HC, Kim BS, Lee K, Kim MJ, Lee BH. Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack. Int J Colorectal Dis. 2014 Oct;29(10):1217-22. doi: 10.1007/s00384-014-1941-8. Epub 2014 Jul 1. PubMed 24980689 ↗
  • Kim YC, Chung JW, Baek JH, Lee WS, Kim D, Park YH, Yang JY, Lee WK. Risk Factors for Recurrence of Right Colonic Diverticulitis. Dig Surg. 2019;36(6):509-513. doi: 10.1159/000494297. Epub 2018 Nov 8. PubMed 30408791 ↗
  • Kim MR, Kye BH, Kim HJ, Cho HM, Oh ST, Kim JG. Treatment of right colonic diverticulitis: the role of nonoperative treatment. J Korean Soc Coloproctol. 2010 Dec;26(6):402-6. doi: 10.3393/jksc.2010.26.6.402. Epub 2010 Dec 31. PubMed 21221240 ↗
  • Lee KY, Lee J, Park YY, Oh ST. Routine colonoscopy may be needed for uncomplicated acute right colonic diverticulitis. BMC Gastroenterol. 2021 Feb 27;21(1):91. doi: 10.1186/s12876-021-01672-1. PubMed 33639847 ↗
  • Huang SS, Sung CW, Wang HP, Lien WC. The outcomes of right-sided and left-sided colonic diverticulitis following non-operative management: a systematic review and meta-analysis. World J Emerg Surg. 2022 Nov 1;17(1):56. doi: 10.1186/s13017-022-00463-7. PubMed 36320045 ↗
  • Palacios Huatuco RM, Pantoja Pachajoa DA, Liano JE, Picon Molina HA, Palencia R, Doniquian AM, Parodi M. Right-sided acute diverticulitis in the West: experience at a university hospital in Argentina. Ann Coloproctol. 2023 Apr;39(2):123-130. doi: 10.3393/ac.2021.00402.0057. Epub 2021 Nov 24. PubMed 34814235 ↗
  • Oh MY, Shin R, Heo SC, Lim HK, Kim MJ, Park JW, Ryoo SB, Jeong SY, Park KJ. Investigation of the clinical features and recurrence patterns of acute right-sided colonic diverticulitis: A retrospective cohort study. Ann Med Surg (Lond). 2022 Aug 18;81:104431. doi: 10.1016/j.amsu.2022.104431. eCollection 2022 Sep. PubMed 36147058 ↗
  • Rov A, Ben-Ari A, Barlev E, Pelcman D, Susmalian S, Paran H. Right-sided diverticulitis in a Western population. Int J Colorectal Dis. 2022 Jun;37(6):1251-1256. doi: 10.1007/s00384-022-04135-5. Epub 2022 May 4. PubMed 35505198 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2018 to primary completion in Dec 2022, 59 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 22, 2023
First posted
Dec 1, 2023
StartActual
Jan 1, 2018
Primary completionActual
Dec 31, 2022
CompletionActual
Jun 15, 2023
Last update
Dec 1, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06153030
Lead sponsor
Haydarpasa Numune Training and Research Hospital
Responsible party
Naz Tayyar (Resident Medical Doctor, Haydarpasa Numune Training and Research Hospital) — Principal investigator
First posted
Dec 1, 2023
Start date
Jan 1, 2018
Primary completion
Dec 31, 2022
Completion
Jun 15, 2023
Last update
Dec 1, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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