Endoscopy 2018; 50(04): S180
DOI: 10.1055/s-0038-1637587
ESGE Days 2018 ePosters
Georg Thieme Verlag KG Stuttgart · New York

INDICATORS FOR COLONOSCOPY IN PATIENTS WITH RECURRENT DIVERTICULAR DISEASE OF THE COLON

S Skridlevskiy
1   State Scientific Center of Coloproctology, Moscow, Russian Federation
,
V Veselov
1   State Scientific Center of Coloproctology, Moscow, Russian Federation
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

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    Aims:

    The aim of the study was to clarify the significant indicators for colonoscopy in patients with recurrent diverticular disease of the colon. The study was due to the postulate that complete examination of the colon is a fundamental objective of colonoscopy and recommendations for a colonoscopy in patients with diverticular disease after resolution of an episode of complicated diverticulitis.

    Methods:

    Data of patients with symptomatic recurrent diverticular disease of the colon, underwent not sedated colonoscopy, operated on in our Center from 2000 to 2016 and diagnosis of diverticulitis or pericolic infiltrate confirmed by the morphological study collected prospectively. Cecal Intubation Rate (CIR), Glouchester Comfort Score (GCS 0 – 4), Endoscopic signs (Es): external colon compression, narrowing of the lumen, colonic wall edema – Es1; tall, thickened, swollen folds – Es2; fixed segments in a limited area – Es3; pus – Es4; petechiae/erosions – Es5; local spasm – Es6, were analyzed and compared by Fisher's two-tailed exact test.

    Results:

    A total of patientstotal= 56 (55,5+12,46 years; male – 50%): recurrent diverticulitis1= 24, pericolic infiltrate2= 32. CIRtotal= 51,7%, CIR1= 62,5%, CIR2= 43,7%. GSC1 (3) – the determinant limited factor for CIR1 (0,01467, p < 0,05). Es3 associated as limited factor for CIR1 (0,04743, p < 0,05) but only in combined with GSC1 (3). Es1 – the determinant limited factor for CIR2 (0,0092, p < 0,05), GSC2 (3) associated as limited factor for CIR2 (0,02688, p < 0,05), but in 75% of cases GSC2 (3) combined with Es1 and not identified the independent influence of GSC2 (3) for CIR2 (1,0, p > 0,05).

    Conclusions:

    These data revealed the low CIR in cases of recurrent diverticular disease of the colon, demonstrate the dominant role of endoscopic signs in cases with pericolic infiltrate. Further analysis is necessary to improve the quality indicators for colonoscopy in patients with recurrent diverticulitis.