Patients with complicated diverticulitis or who aren't current with colorectal cancer screening are at higher risk and should have follow-up colonoscopy to rule it out.
The prevalence and risk for colorectal cancer is low among most patients with diverticulitis, but it is higher in patients with complicated diverticulitis, according to a new study.
Overall, CRC prevalence was 0.33% in screening colonoscopies and 0.31% across diverticulitis follow-up colonoscopies. Patients with diverticulitis were less likely to have CRC than those with screening colonoscopies. CRC prevalence increased to 1.43% in 421 patients with complicated diverticulitis . Patients with complicated diverticulitis were more likely to have CRC than those with screening colonoscopies.
More than a third of diverticulitis follow-up colonoscopies occurred among patients aged 40-54 years. CRC prevalence was low at 0.2%-0.3% and similar to the screening colonoscopies group, but these patients need thoughtful clinical follow-up, according to the study authors. However, they recommended follow-up colonoscopy to rule out missed CRC after diverticulitis when patients have a complication, symptoms of concern, or aren't current with screening.
Diverticulosis Diverticulitis Bowel Preparation Colonoscopy Colorectal Cancer Colorectal Cancer (CRC) Colorectal Cancer Screening Colon Cancer Screening Cancer Malignant Neoplasia Carcinoma Malignant Neoplasm Colon Cancer Malignant Neoplasm Of The Colon Malignant Neoplasm Of The Large Intestine Preventive Screening Screening Cancer Risk Colorectal Surgery
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