The Diagnostic Journey in Fistulizing Sigmoid Diverticulitis: A Multicenter Retrospective Study and Proposal for a Structured Workup
The diagnostic workup for fistulizing diverticulitis remains heterogeneous and may contribute to treatment delays. Based on our findings, we propose a structured, symptom-guided diagnostic algorithm centered around early recognition, targeted use of high-yield modalities - including colonoscopy, cystoscopy, CT, and the poppy seed test - and prompt referral for surgical treatment. Standardization may improve diagnostic efficiency and reduce patient morbidity.
Authors
- Stephan Gretschel (ORCID: https://orcid.org/0000-0001-8151-4932)
- Christoph Wullstein
- Karin Sonnenberg
- Lennart Zimniak
- Hendrik Christian Albrecht (ORCID: https://orcid.org/0000-0003-4135-8140)
- Attila Dubecz
- Joerg-Peter Ritz
- Michael Karg
Institutions
- Helios Hospital Schwerin (DE)
- Helios Klinikum Krefeld (DE)
- Helios Kliniken (DE)
- Medizinische Hochschule Brandenburg Theodor Fontane (DE)
- Helios Klinikum Erfurt (DE)
Publication Details
- Journal
- Digestive Diseases
- Published
- 2025-12-24
- DOI
- https://doi.org/10.1159/000549576
- Primary Topic
- Diverticular Disease and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00