Distinct Clinical Factors in Hospitalized Patients with Diverticular Bleeding and Diverticulitis.
Adult
Age Factors
Aged
Aged, 80 and over
Diverticulitis, Colonic
/ epidemiology
Diverticulum
/ complications
Female
Gastrointestinal Hemorrhage
/ epidemiology
Humans
Japan
/ epidemiology
Male
Middle Aged
Platelet Aggregation Inhibitors
/ adverse effects
Prevalence
Retrospective Studies
Risk Factors
Young Adult
Anticoagulant
Antiplatelet
Diverticular bleeding
Diverticulitis
Elderly people
Journal
Digestion
ISSN: 1421-9867
Titre abrégé: Digestion
Pays: Switzerland
ID NLM: 0150472
Informations de publication
Date de publication:
2019
2019
Historique:
received:
06
04
2018
accepted:
03
07
2018
pubmed:
17
9
2018
medline:
27
8
2019
entrez:
17
9
2018
Statut:
ppublish
Résumé
It is unclear why colonic diverticular bleeding and diverticulitis rarely coexist. This study compared the characteristics of these conditions. This single-center retrospective study examined 310 consecutive patients hospitalized with an episode of diverticular disease (cases) and outpatients without a diverticular episode (controls) from January 2012 to December 2015. We investigated distinct clinical factors in hospitalized patients with diverticular bleeding and diverticulitis. We identified 183 patients with 263 episodes of diverticular bleeding and 127 patients with 135 episodes of diverticulitis during the study period. Patients with diverticular bleeding were significantly older than those with diverticulitis (median age 76 vs. 56 years) and had more cardiovascular disease, hypertension, diabetes, cerebrovascular disease, chronic kidney disease, lipid disorder, or a poorer performance status. Significantly more diverticular bleeding patients were taking antiplatelet drugs, anticoagulant drugs, proton pump inhibitors, or laxative agents. Multivariate analysis revealed that an age > 65 years (OR 5.42), and antiplatelet agent use (OR 7.29) were more significant risk factors for diverticular bleeding than for diverticulitis. Elderly people using antiplatelet drugs may be more susceptible to diverticular bleeding than diverticulitis.
Sections du résumé
BACKGROUND/AIMS
OBJECTIVE
It is unclear why colonic diverticular bleeding and diverticulitis rarely coexist. This study compared the characteristics of these conditions.
METHODS
METHODS
This single-center retrospective study examined 310 consecutive patients hospitalized with an episode of diverticular disease (cases) and outpatients without a diverticular episode (controls) from January 2012 to December 2015. We investigated distinct clinical factors in hospitalized patients with diverticular bleeding and diverticulitis.
RESULTS
RESULTS
We identified 183 patients with 263 episodes of diverticular bleeding and 127 patients with 135 episodes of diverticulitis during the study period. Patients with diverticular bleeding were significantly older than those with diverticulitis (median age 76 vs. 56 years) and had more cardiovascular disease, hypertension, diabetes, cerebrovascular disease, chronic kidney disease, lipid disorder, or a poorer performance status. Significantly more diverticular bleeding patients were taking antiplatelet drugs, anticoagulant drugs, proton pump inhibitors, or laxative agents. Multivariate analysis revealed that an age > 65 years (OR 5.42), and antiplatelet agent use (OR 7.29) were more significant risk factors for diverticular bleeding than for diverticulitis.
CONCLUSIONS
CONCLUSIONS
Elderly people using antiplatelet drugs may be more susceptible to diverticular bleeding than diverticulitis.
Identifiants
pubmed: 30219818
pii: 000491875
doi: 10.1159/000491875
doi:
Substances chimiques
Platelet Aggregation Inhibitors
0
Types de publication
Journal Article
Langues
eng
Pagination
239-246Informations de copyright
© 2018 S. Karger AG, Basel.