Last modified: 2022-09-20
Abstract
Background & Aim: The spectrum of Colonic diverticulitis ranges from minor uncomplicated inflammation to complicated presentations, characterised by waxing and waning of symptoms. This study aims to address the Post operative morbidity and Quality of life(QoL).
Methodology: This is an observational single Institution study.Prospectively collected Data from patients who underwent surgery for Diverticulitis in our Department from January 2017 to June 2022 were taken for analysis. Patients with associated Colorectal malignancy were excluded. Demographic data, types of surgical procedures performed and Clavein-Dindo(CD) grading were recorded.Cleveland Global Quality of Life (CGQL), Short Form 36(SF-36) and Gastrointestinal Quality of Life Index(GIQLI), were administered before Surgery and at 1 year.
Results: There were 372 Colonic surgeries in the study period of which, 21 were for Diverticulitis(5.6%). Two were excluded due to concurrent malignancy and four were lost to follow up. Hence, 15(n) patients (males:8, females:6) were taken for analysis. Mean age of presentation was 64.8 years. Median BMI was 27.1. Colo-vesical fistula was present in 12 out of 15 patients(80%). Surgeries performed were Recto-sigmoidectomy ±Temporary diverting ileostomy(11), Left hemicolectomy(1), Total colectomy(1), Hartmanns(1), Diverting loop colostomy(1). Median CD grade was 1. Median follow up was 36 months. The mean QoL score of CGQL before and after surgery were 4.4 ± 1.2 and 7.8 ± 1.2(P<0.001), of SF-36 were 52.1 ± 8.2 and 84.3 ± 5.8(P<0.001),of GIQLI were 78.9 ± 10.1 and 123.6 ± 11.8(P<0.001) respectively.
Conclusion: Marked improvement in QoL can be achieved with surgical intervention in Colonic Diverticulitis with low Postoperative Morbidity.