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Características clínicas, imagenológicas y terapéuticas de pacientes con diverticulitis no complicada en Red Hospitalaria Méderi entre 2018-2024
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Autores
Caballero Turbay, Melissa Isabel
Camacho Delgado, Laura Carolina
Fecha
2026-05-04
Directores
Gutiérrez Infante, Fernando Augusto
Murcia Soriano, Luisa Fernanda
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Universidad del Rosario
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Resumen
El presente documento busca caracterizar el perfil clínico, los hallazgos imagenológicos y la respuesta terapéutica de pacientes con diverticulitis aguda no complicada en la Red Hospitalaria Méderi entre 2018 y 2024. Se realizo mediante un estudio observacional, descriptivo y retrospectivo. Se incluyeron 100 pacientes seleccionados mediante muestreo no probabilístico de casos consecutivos. Se analizaron variables sociodemográficas, comorbilidades, biomarcadores inflamatorios, clasificación de Hinchey por tomografía computarizada y desenlaces clínicos a 90 días, encontrando que el manejo conservador de la diverticulitis no complicada en la institución es altamente seguro y efectivo, con una baja tasa de falla terapéutica. El predominio del manejo ambulatorio refleja una adecuada optimización de recursos. Se destaca la importancia de la TC sobre los biomarcadores hemáticos para una estratificación precisa, permitiendo un abordaje médico exitoso incluso en estadios con microabscesos pericólicos.
Abstract
Objective: To characterize the clinical profile, imaging findings, and therapeutic response of patients with acute uncomplicated diverticulitis at the Méderi Hospital Network between 2018 and 2024. Methodology: An observational, descriptive, and retrospective study was conducted. A total of 100 patients were included through non-probabilistic consecutive sampling. Sociodemographic variables, comorbidities, inflammatory biomarkers, Hinchey classification via computed tomography (CT), and 90-day clinical outcomes were analyzed. Results: The median age was 62.5 years (IQR 56.0–70.0), with a female predominance (61%). The most frequent comorbidities were constipation (63%) and hypertension (49%). Leukocytosis (>10,000 cells/µL) was present in 54% of patients at admission. According to CT findings, 62% were classified as Hinchey IA, 26% as IB (pericolic abscesses <3 cm), and 12% as stage 0. Outpatient antibiotic management was administered to 82% of patients (median duration 6.96 days), primarily using cefazolin plus metronidazole (62%). The median hospital stay was 2.41 days. The 90-day readmission rate was 14%, with a final surgical requirement of only 3%. Conclusions: Conservative management of acute uncomplicated diverticulitis in our institution is highly safe and effective, with a low rate of therapeutic failure. The predominance of outpatient management reflects appropriate resource optimization. The study highlights the superiority of CT over blood biomarkers for accurate stratification, enabling successful medical management even in stages involving small pericolic abscesses.
Palabras clave
Diverticulitis no complicada , Manejo antibiótico , Clasificación de Hinchey , Manejo médico , Desenlaces
Keywords
Uncomplicated diverticulitis , Hinchey classification , Medical management , Outcomes
