|
Back to 2016 Annual Meeting
Diverticula of the Small Intestine: A 5 Year Inpatient Review
Omar M. Ghanem*, Greg Burgoyne
Department of Surgery, Medstar Union Memorial Hospital, Silver Spring, MD
Introduction: Small bowel diverticula are relatively uncommon and can be complicated with hemorrhage or infection. We aim to characterize patient demographics, risk factors associated with mortality and the management of these diverticula.
Methods: The Nationwide Inpatient Sample (NIS) database was utilized to extract data from hospital stays from 2006-2010 with primary diagnosis ICD-9 codes 562.0-3. Meckel’s diverticula (ICD-9 code 715.0) were excluded. Data analysis included gender, age, mortality, length of stay (LOS), total charges, diagnosis and procedure codes.
Results: A total of 14,994 patients were included (mean 2999 patients annually). 55% were female, 45% male with a mean age of 69.1 years. Mean mortality rate was 2.2% and average LOS was 7.2 days. Mean hospital charges were ,715. Endoscopy was performed in 29.3%, colonoscopy in 10.6% while small bowel resection was performed in 30.9% of patients. 22.2% of patients needed a blood transfusion and 5.5% TPN during their admission. Patients without hemorrhage accounted for 69.9% whereas patients with hemorrhage accounted for 30.1% and are contrasted in Table 1.
Conclusion: Diverticula of the small intestine are uncommon and present in older patients. Mortality is low overall but higher when associated with hemorrhage. One third of the patients required small bowel surgery.
Table 1: Diverticula of the Small Intestine
| | No hemorrhage | With hemorrhage | p-value | | Total Patients | 10482 | 4512 | | | Proportion | 69.9% | 30.1% | | | Age | 66.5 | 75.1 | < 0.01 | | LOS | 7.3 | 6.8 | 0.12 | | Mortality | 1.9% | 2.8% | < 0.01 | | Charges | ,027 | ,959 | 0.01 |
Back to 2016 Annual Meeting
|
