Abstract
Colonic diverticular disease can manifest as either diverticulosis or diverticulitis. With diverticulosis, noninflamed diverticula are present with or without symptoms. Although most patients with diverticulosis have no or only mild symptoms, complications of hemorrhage or infection occur in 15–30% of affected patients; about 30% of these patients require operative treatment. When diverticulitis develops, one or more diverticula become infected. This can lead to perforation of a diverticulum with pericolic infection (peridiverticulitis), abscess formation, or free perforation with peritonitis. As a result, patients can develop fistulas, hemorrhage, colonic obstruction, or other complications. Henchey et al. (1) devised a classification for the inflammatory conditions encountered with colonic diverticulitis. Stage I is a small confined pericolonic abscess, Stage II is a larger abscess, Stage III is suppurative peritonitis, and Stage IV is fecal peritonitis.
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References
I. Hinchey EJ, Schaal PGH, Richards GK. Treatment of perforated diverticular disease of the colon. Adv. Surg., 12 (1978) 85–109.
Hughes LE. Postmortem survey of diverticular disease of the colon. Gut, 10 (1969) 336–344.
Slack WW. The anatomy, pathology and some clinical features of diverticulitis of the colon. Br. J. Surg., 50 (1962) 185–190.
Spriggs EI, Marxer OA. Intestinal diverticula. Q. J. Med., 19 (1925) 1.
Mendeloff AI. Thoughts on the epidemiology of diverticular disease. Clin. Gastroenterol., 15 (1986) 855–877.
Chintapalli KN, Esola CC, Chopra S, Ghiatas AA, Dodd GC, 3rd. Pericolic mesenteric lymph nodes: An aid in distinguishing diverticulitis from cancer of the colon. Am. J. Roentgenol., 169 (1997) 1253–1255.
Gledhill A, Dixon MF. Crohn’ s-like reaction in diverticular disease. Gut, 42 (1998) 392–395.
Welch CE, Athanasoulis CA, Galdabini D. Hemorrhage from the large bowel with special reference to angiodysplasia and diverticular disease. World J. Surg., 2 (1978) 73–83.
Ferzoco LB, Raptopoulos V, Silen W. Acute Diverticulitis. N. Engl. J. Med., 338 (1998) 1521–1526.
Freeman SR, McNally PR. Diverticulitis. Med. Clin. N. Am., 77 (1993) 1149–1167.
Painter NS, Truelove SC. The intraluminal pressure in diverticulosis of the colon. Gut, 5 (1964) 201–213.
Arfwidsson S. Pathogenesis of multiple diverticula of the sigmoid colon in diverticular disease. Acta Chir. Scand. Suppl., 342 (1964) 1–68.
Spivak H, Weinrauch S, Harvey JC, Surick B, Ferstenberg H, Friedman I. Acute colonic diverticulitis in the young. Dis. Colon Rectum, 49 (1997) 570–574.
Stabile BE, Puccio E, Van Sonnenberg E, Neff CC. Preoperative percutaneous drainage of diverticular abscesses. Am. J. Surg., 159 (1990) 99–104.
Memon MA, Fitztgibbons RJ. The role of minimal access surgery in the acute abdomen. Surg. Clin. N. Am., 77 (1997) 1333–1353.
Bruce CJ, Coller JA, Murray JJ, Schoetz DJ, JR, Roberts PL, Rusin, LC. Laparoscopic resection for diverticular disease. Dis. Colon Rectum, 39 (Suppl) (1996) S1–6.
Eijsbouts QA, Cuesta MA, deBrauw LM, Siestses C. Elective laparoscopic-assisted sigmoid resection for diverticular disease. Surg. Endosc., 11 (1997) 750–753.
Sher ME, Agachan F, Bortul M, Nogueras JJ, Weiss EG, Wexner SD. Laparoscopic surgery for diverticulitis. Surg. Endosc., 11 (1997) 264–267.
Lee EC, Murray JJ, Coller JA, Roberts PL, Schoetz DJ, Jr. Intraoperative colonic lavage in nonelective surgery for diverticular disease. Dis. Colon Rectum, 40 (1997) 669–674.
Murray JJ, Schoetz DJ, Coller JA, Roberts PL, Veidenheimer MC. Intraoperative colonic lavage and primary anastomosis in nonelective colon resection. Dis. Colon Rectum, 34 (1991) 527–531.
Scott HJ, Lane IF, Glynn MJ. Colonic hemorrhage: a technique for rapid intraoperative bowel preparation and colonoscopy. Br. J. Surg., 73 (1986) 390–391.
Woods RJ, Lavery IC, Fazio VW, jagelman DG, Weakley FL. Internal fistulas in diverticular disease. Dis. Colon Rectum, 31 (1988) 591–596.
Beranbaum SL, Zausner J, Lane B. Diverticular disease of the right colon. Radiology, 115 (1972) 334–348.
Graham SM, Ballantyne GH. Cecal diverticulitis: a review of the American experience. Dis. Colon Rectum, 30 (1987) 821–826.
Katz DS, Lane MJ, Ross BA, Gold BM, Jeffrey RB, Jr, Minde1zun RE. Diverticulitis of the right colon revisited. Am. J. Roentgenol., 171 (1998) 151–156.
Gouge TH, Coppa GF, Eng K, Ranson JH, Localio SA. Management of diverticulitis of the ascending colon: 10 years’ experience. Am. J. Surg., 145 (1983) 387–391.
Otterson MF, Telford GT. Diverticular Disease. In Surgery: Scientific Principles and Practice. 3rd ed., Greenfield LJ, Mulholland MW, Oldham KT, Zelenock GB,Lillemoe KD (eds.), Lippincott-Raven, Philadelphia, PA, 2001, pp. 1137–1140.
Sarr MG, Fishman EK, Goldman SM. Enterovesical fistula. Surg. Gynecol. Obstet., 164 (1987) 41–48.
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Telford, G.L., Telford, S.W., Otterson, M.F. (2003). Diverticular Disease. In: Koch, T.R. (eds) Colonic Diseases. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-314-9_25
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DOI: https://doi.org/10.1007/978-1-59259-314-9_25
Publisher Name: Humana Press, Totowa, NJ
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