Acar T, Sür Y, Acar N, Tekindal MA, Dilek ON. Does localization change management in complicated right and left-sided diverticulitis? World J Gastrointest Surg 2025; 17(12): 111450 [DOI: 10.4240/wjgs.v17.i12.111450]
Corresponding Author of This Article
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. dr.yunus.sur@gmail.com
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Surgery
Article-Type of This Article
Retrospective Cohort Study
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Dec 27, 2025 (publication date) through Dec 25, 2025
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Publication Name
World Journal of Gastrointestinal Surgery
ISSN
1948-9366
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Acar T, Sür Y, Acar N, Tekindal MA, Dilek ON. Does localization change management in complicated right and left-sided diverticulitis? World J Gastrointest Surg 2025; 17(12): 111450 [DOI: 10.4240/wjgs.v17.i12.111450]
World J Gastrointest Surg. Dec 27, 2025; 17(12): 111450 Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.111450
Does localization change management in complicated right and left-sided diverticulitis?
Turan Acar, Yunus Sür, Nihan Acar, Mustafa Agah Tekindal, Osman Nuri Dilek
Turan Acar, Department of General Surgery, Fenerbahçe University, İzmir Medicana International Hospital, İzmir 35170, Türkiye
Yunus Sür, Nihan Acar, Department of General Surgery, İzmir Katip Celebi University, Atatürk Training and Research Hospital, İzmir 35150, Türkiye
Mustafa Agah Tekindal, Department of Biostatistics, Faculty of Medicine, İzmir Katip Celebi University, İzmir 35360, Türkiye
Osman Nuri Dilek, Department of General Surgery, İzmir Medical Park Hospital, İzmir 35230, Türkiye
Co-corresponding authors: Yunus Sür and Osman Nuri Dilek.
Author contributions: Sür Y and Dilek ON contribute equally to this study as c-corresponding authors; Acar T, Sür Y, Acar N, and Dilek ON participated in the conception and design of the study and were involved in the acquisition, analysis, or interpretation of data; Acar T and Acar N wrote the manuscript; Tekindal MA accessed and verified the study data and reviewed the statistical analysis; all authors critically reviewed and provided final approval of the manuscript; all authors were responsible for the decision to submit the manuscript for publication.
Institutional review board statement: This study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board of Izmir Katip Çelebi University Non-Interventional Research Ethics Committee (Approval No. 619).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that there is no conflict of interest regarding the publication of this paper.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Data sharing statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
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: 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. dr.yunus.sur@gmail.com
Received: July 1, 2025 Revised: July 20, 2025 Accepted: October 11, 2025 Published online: December 27, 2025 Processing time: 178 Days and 8 Hours
Core Tip
Core Tip: Diverticular disease has a globally increasing incidence. Most of the current studies on diverticulitis refer to left colonic diverticulitis. However, right-sided colon diverticulitis (RCD) and left-sided colon diverticulitis (LCD) manifest distinct features. This retrospective study consisted of 253 patients with complicated diverticulitis and compared the characteristics and treatment approaches of RCD and LCD. Age, Charlson comorbidity index, prior complication, Hinchey stage, number of episodes, and the mean length of hospital stay were significantly different between RCD and LCD. The presence of an accompanying lesion during elective colonoscopy was statistically significant among LCD. Although conservative treatment was adequate in most RCD, there is still no standard treatment management in LCD, since the course of the disease differs among individuals.
