Systematic Reviews
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2021; 13(12): 1721-1735
Published online Dec 27, 2021. doi: 10.4240/wjgs.v13.i12.1721
Right sided diverticulitis in western countries: A review
Angelo Gabriele Epifani, Diletta Cassini, Roberto Cirocchi, Caterina Accardo, Francesca Di Candido, Massimiliano Ardu, Gianandrea Baldazzi
Angelo Gabriele Epifani, Caterina Accardo, Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, University of Milan, Sesto San Giovanni 20099, Italy
Diletta Cassini, Francesca Di Candido, Massimiliano Ardu, Gianandrea Baldazzi, Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, Sesto San Giovanni 20099, Italy
Roberto Cirocchi, Department of General and Oncological Surgery, University of Perugia, Perugia 06123, Italy
Author contributions: Cassini D designed the research; Epifani AG and Cirocchi R performed the research and wrote the paper; Accardo C and Epifani AG analysed the data; Cirocchi R, Baldazzi G, Di Candido F and Ardu M supervised the paper; All authors read and approved the final manuscript.
Conflict-of-interest statement: All the authors declare that they have no competing interests.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Diletta Cassini, MD, PhD, Surgeon, Complex Unit of General, Minimally Invasive and Emergency Surgery, Sesto San Giovanni Hospital, Viale G Matteotti 83-20099 Sesto San Giovanni (Milan), Sesto San Giovanni 20099, Italy. diletta_cassini@yahoo.it
Received: March 30, 2021
Peer-review started: March 30, 2021
First decision: May 13, 2021
Revised: May 28, 2021
Accepted: November 30, 2021
Article in press: November 30, 2021
Published online: December 27, 2021
Processing time: 268 Days and 19.4 Hours
ARTICLE HIGHLIGHTS
Research background

Right sided diverticulitis is very frequent in Asian countries, while in western countries it has always been considered very rare. On the other hand, in recent studies, the condition has been shown to be increasing in recent years.

Research motivation

Despite this rapid spread, there are no clear guidelines on the management of RSD. Until now, their management has been based on knowledge gained from left sided diverticulitis.

Research objectives

The authors therefore wanted to analyze the studies in the literature to have a broader and deeper point of view to understand what could be the correct management.

Research methods

The authors analyzed the articles from western countries starting from 1990 in which the management and the subsequent outcome of right sided diverticulitis were shown.

Research results

The authors found that most cases of right colonic diverticulitis are treated effectively with non-operative management, reserving surgical treatment especially for complicated cases. Recurrences have a low rate and are also successfully treated conservatively.

Research conclusions

Right sided diverticulitis has a similar management in both western and Asian countries.

Research perspectives

Further studies will serve to identify more precisely which cases should be reserved for surgical treatment.