Identifying patients at high risk of colonic diverticular
haemorrhage

J 2016

Identifying patients at high risk of colonic diverticular haemorrhage

ADAMOVÁ, Zuzana, Radim SLOVÁČEK, Jaroslav SANKOT a Petr VLČEK

Základní údaje

Originální název

Identifying patients at high risk of colonic diverticular haemorrhage

Autoři

ADAMOVÁ, Zuzana (203 Česká republika, garant, domácí), Radim SLOVÁČEK (203 Česká republika), Jaroslav SANKOT (203 Česká republika) a Petr VLČEK (203 Česká republika, domácí)

Vydání

Surgical Chronicles, Thessaloniki, Surgical Society of Northern Greece, 2016, 1108-5002

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Řecko

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/16:00093350

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

diverticular disease; haemorrhage; risk factors; hypertension; ischemic heart disease; age

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 2. 2. 2017 14:07, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Aim of the study: Diverticular hemorrhage is a common cause of lower gastrointestinal bleeding, but studies about risk factors for colonic diverticular hemorrhage are limited, most of them are dedicated to Asian population. Our aim was to identify risk factors for diverticular bleeding in westernized population. Material and Methods: This is a retrospective study. There were included 333 consecutive patients, treated for symptomatic diverticular disease between January 2000 and December 2011. Seventy-four (22 %) had signs of diverticular bleeding. The influence of comorbidities (overweight, hypertension, ischemic cardiac disease, atrial fibrillation, renal failure, gastroduodenal disease), nicotine abuse and medication (anticoagulant drugs, aspirin) was evaluated. To determine the risk factors for colonic diverticular bleeding statistical analysis were performed using Mann–Whitney U test and Fisher’s exact test. Results: There was no difference between patients with diverticular hemorrhage and those with non bleeding symptomatic diverticulosis regarding gender ratio. Bleeding patients were older (p<0,00001). Hypertension (p= 0,00001), ischemic heart disease (p=0,04), gastroduodenal disease (p<0,00001) and use of aspirin(p=0,007) were significant risk factors for diverticular bleeding. Conclusions: Age, hypertension, ischemic heart disease, gastroduodenal disease and use of aspirin increase significantly the risk of diverticular hemorrhage.

Citovat

ADAMOVÁ, Zuzana, Radim SLOVÁČEK, Jaroslav SANKOT a Petr VLČEK. Identifying patients at high risk of colonic diverticular haemorrhage. Surgical Chronicles. Thessaloniki: Surgical Society of Northern Greece, 2016, roč. 21, č. 2, s. 68-71. ISSN 1108-5002.

@article{1371136,
   author = {Adamová, Zuzana and Slováček, Radim and Sankot, Jaroslav and Vlček, Petr},
   article_location = {Thessaloniki},
   article_number = {2},
   keywords = {diverticular disease; haemorrhage; risk factors; hypertension; ischemic heart disease; age},
   language = {eng},
   issn = {1108-5002},
   journal = {Surgical Chronicles},
   title = {Identifying patients at high risk of colonic diverticular haemorrhage},
   volume = {21},
   year = {2016}
}

TY  - JOUR
ID  - 1371136
AU  - Adamová, Zuzana - Slováček, Radim - Sankot, Jaroslav - Vlček, Petr
PY  - 2016
TI  - Identifying patients at high risk of colonic diverticular haemorrhage
JF  - Surgical Chronicles
VL  - 21
IS  - 2
SP  - 68-71
EP  - 68-71
PB  - Surgical Society of Northern Greece
SN  - 11085002
KW  - diverticular disease
KW  - haemorrhage
KW  - risk factors
KW  - hypertension
KW  - ischemic heart disease
KW  - age
N2  - Aim of the study: Diverticular hemorrhage is a common cause of lower gastrointestinal bleeding, but studies about risk factors for colonic diverticular hemorrhage are limited, most of them are dedicated to Asian population. Our aim was to identify risk factors for diverticular bleeding in westernized population. Material and Methods: This is a retrospective study. There were included 333 consecutive patients, treated for symptomatic diverticular disease between January 2000 and December 2011. Seventy-four (22 %) had signs of diverticular bleeding. The influence of comorbidities (overweight, hypertension, ischemic cardiac disease, atrial fibrillation, renal failure, gastroduodenal disease), nicotine abuse and medication (anticoagulant drugs, aspirin) was evaluated. To determine the risk factors for colonic diverticular bleeding statistical analysis were performed using Mann–Whitney U test and Fisher’s exact test. Results: There was no difference between patients with diverticular hemorrhage and those with non bleeding symptomatic diverticulosis regarding gender ratio. Bleeding patients were older (p<0,00001). Hypertension (p= 0,00001), ischemic heart disease (p=0,04), gastroduodenal disease (p<0,00001) and use of aspirin(p=0,007) were significant risk factors for diverticular bleeding. Conclusions: Age, hypertension, ischemic heart disease, gastroduodenal disease and use of aspirin increase significantly the risk of diverticular hemorrhage.
ER  -

ADAMOVÁ, Zuzana, Radim SLOVÁČEK, Jaroslav SANKOT a Petr VLČEK. Identifying patients at high risk of colonic diverticular haemorrhage. \textit{Surgical Chronicles}. Thessaloniki: Surgical Society of Northern Greece, 2016, roč.~21, č.~2, s.~68-71. ISSN~1108-5002.

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