[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-406780-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-406780-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","does-localization-change-management-in-complicated-right-and-left-sided-diverticulitis","Does localization change management in complicated right and left-sided diverticulitis?","","Distribution of colonic diverticula varies across populations, with right-sided (RCD) and left-sided colon diverticulitis (LCD) showing distinct clinical characteristics. Complicated diverticulitis often requires hospitalization, ranging from observation to surgery, depending on patient status, diffuse peritonitis, site of disease, Hinchey stage, and response to prior treatment. This retrospective single-center study analyzed 253 hospitalized patients to compare presentation and treatment strategies by localization.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/does-localization-change-management-in-complicated-right-and-left-sided-diverticulitis/406780/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/does-localization-change-management-in-complicated-right-and-left-sided-diverticulitis/406780.png","ImageObject",300,407,{"name":42,"@type":43},"Blitz","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-05","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the study aimed to evaluate?","Question",{"text":63,"@type":64},"The study evaluates clinical features of complicated diverticulitis, compares differences by colonic localization, and presents treatment approaches.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were patients grouped in the retrospective study?",{"text":68,"@type":64},"Patients with a history of hospitalization for complicated diverticulitis were divided into two groups: right-sided colon diverticulitis (RCD) and left-sided colon diverticulitis (LCD).",{"name":70,"@type":61,"acceptedAnswer":71},"What key differences were observed between RCD and LCD management?",{"text":72,"@type":64},"Most patients had LCD, and surgery was more associated with specific indications by localization (abscess more in RCD, perforation more in LCD). Surgical management in LCD was also linked to prolonged hospital stay, and accompanying malignancy during colonoscopy was more common among surgically treated LCD cases.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},406780,1790815234,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},24464137899374,"https://us-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","| W | J | G | S | World Journal of\u003Cbr>Gastrointestinal Surgery |\n| --- | --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Surg 2025 December 27; 17(12): 111450  \nDOI: 10.4240/wjgs.v17.i12.111450 ISSN 1948-9366 (online)  \nORIGINAL ARTICLE  \nRetrospective Cohort Study  \nDoes localization change management in complicated right and leftsided diverticulitis?  \nTuran Acar, Yunus Sür, Nihan Acar, Mustafa Agah Tekindal, Osman Nuri Dilek  \nSpecialty type: Surgery  \nProvenance and peer review:  \nInvited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade A, Grade B, Grade B  \nNovelty: Grade A, Grade B, Grade B  \nCreativity or Innovation: Grade A, Grade B, Grade B  \nScientific Significance: Grade A, Grade B, Grade B  \nP-Reviewer: Cui X, PhD, FRCS, China; Leonan-Silva B, DDS, Professor, Researcher, Brazil  \nReceived: July 1, 2025  \nRevised: July 20, 2025  \nAccepted: October 11, 2025  \nPublished online: December 27, 2025  \nProcessing time: 178 Days and 13.3 Hours  \nTuran Acar, Department of General Surgery, Fenerbahçe University, İzmir Medicana International Hospital, İzmir 35170, Türkiye  \nYunus Sür, Nihan Acar, Department of General Surgery, İzmir Katip Celebi University, Atatürk Training and Research Hospital, İzmir 35150, Türkiye  \nMustafa Agah Tekindal, Department of Biostatistics, Faculty of Medicine, İzmir Katip Celebi University, İzmir 35360, Türkiye  \nOsman Nuri Dilek, Department of General Surgery, İzmir Medical Park Hospital, İzmir 35230, Türkiye  \nCo-corresponding authors: Yunus Sür and Osman Nuri Dilek.  \nCorresponding author: Yunus Sür, MD, Department of General Surgery, İzmir Katip Celebi University, Atatürk Training and Research Hospital, İzmir Atatürk Eğitim ve Araştırma Hastanesi Basın Sitesi Mah. Hasan Tahsin Cad No. 143 Karabağlar, İzmir 35150, Türkiye.  \n[dr.yunus.sur@gmail.com](dr.yunus.sur@gmail.com)  \nAbstract  \nBACKGROUND  \nDistribution of the colonic diverticula differs in different populations, and rightsided colon diverticulitis (RCD) and left-sided colon diverticulitis (LCD) manifest distinct clinical features. Complicated diverticulitis (CD) mostly requires hospitalization and can be treated within a spectrum from observation to surgery. Treatment choice is formed depending on the patient’s general condition, the presence of diffuse peritonitis, the localization of diverticulitis, Hinchey stage, and responsiveness to the prior treatment. Clinical disparities regarding right and LCD also led to the differences in the incidences of both emergency surgery and future elective surgery.  \nAIM  \nTo evaluate the clinical features of CD, display the differences according to colonic localizations, and present treatment approaches.  \nMETHODS  \nThis was a retrospective study from a single centre analysing data from a prospective database. The 253 patients with history of hospitalization for CD were  \n WJGS  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 27, 2025  Volume 17  Issue 12   \nAcar T et al. Impact of localization on diverticulitis treatment  \nincluded and divided into two groups: RCD and LCD. To compare the differences between the two groups, the Student’s t-test was used when the parametric test prerequisites were fulfilled, and the Mann-Whitney U test was used when such requirements were not fulfilled.  \nRESULTS  \nThe 208 (82.2%) patients were found to have LCD, and 45 (17.8%) had RCD. The majority of the patients had Hinchey 1A diverticulitis (49.8%). Male gender was significantly more common in patients who underwent surgery for LCD. While persistent abdominal pain was the main prior finding in the conservative treatment of both localizations, surgery was most performed due to abscess in RCD and perforation in LCD. The presence of an accompanying malignancy during colonoscopy was significantly more common in LCD cases who underwent surgery","cbCaiqOUKsBXe6AW","https://ap.wps.com/l/cbCaiqOUKsBXe6AW","pdf",3214936,13,"English","# Abstract\n## Background\n## Aim\n## Methods\n## Results\n## Conclusion\n## Core Tip","[{\"question\":\"What is the study aimed to evaluate?\",\"answer\":\"The study evaluates clinical features of complicated diverticulitis, compares differences by colonic localization, and presents treatment approaches.\"},{\"question\":\"How were patients grouped in the retrospective study?\",\"answer\":\"Patients with a history of hospitalization for complicated diverticulitis were divided into two groups: right-sided colon diverticulitis (RCD) and left-sided colon diverticulitis (LCD).\"},{\"question\":\"What key differences were observed between RCD and LCD management?\",\"answer\":\"Most patients had LCD, and surgery was more associated with specific indications by localization (abscess more in RCD, perforation more in LCD). Surgical management in LCD was also linked to prolonged hospital stay, and accompanying malignancy during colonoscopy was more common among surgically treated LCD cases.\"}]","Does localization change management in complicated right and left-sided diverticulitis? | PDF",1790567782,33]