A Retrospective Study of Patients with Diverticulitis: Does Neutrophil-to-Lymphocyte Ratio Predict Chronic Diverticulitis Disease Progression?

• Published in: Istanbul medical journal 2022-02, Vol.23 (1), p.69-73
• Main Authors: Nayci, Ali Emre, Cakir, Ensar
• Format: Article
• Language: English
• Subjects: Abdomen; Abscesses; Asymptomatic; Blood cell count; C-reactive protein; Cancer; Clinics; Colon; Crohn's disease; Development and progression; Disease; Disease susceptibility; Diverticulitis; Emergency medical care; Gallbladder diseases; Granulocytes; Health aspects; Health sciences; Hemoglobin; Hospitalization; hynchey classification; Intestinal obstruction; Lymphocytes; Mortality; neutrophil/lymphocyte ratio; Neutrophils; Oncology, Experimental; Pain; Patients; Pregnant women; Surgery; Tomography; Ulcerative colitis; Ultrasonic imaging; Variables
• ISSN: 2619-9793; 1304-8503; 2148-094X
• DOI: 10.4274/imj.galenos.2022.36518

Introduction: Diverticular disease is defined as the presence of an asymptomatic diverticulum in the colon, and an infected diverticulum is called diverticulitis. Among patients with diverticular disease, 10-25% experience diverticulitis at some stage in their lives. This study aimed to evaluate the neutrophil-to-lymphocyte ratio (NLR) determined by dividing the neutrophil value by the lymphocyte value by comparing the stages of the patients according to the Hinchey classification who presented to the emergency department and were diagnosed with acute diverticulitis and to make a decision whether the patient should be treated by hospitalization or in the outpatient clinic. Methods: Patients who were admitted to the Istanbul Training and Research Hospital, between 2015 and 2019 and were diagnosed with acute diverticulitis by abdominal computed tomography were included in the study. Patients aged