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Changing concepts in diverticulosis of the colon

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Summary

The records of 300 patients with diverticula of the colon have been reviewed. Clinical diagnosis of diverticulosis requires roentgenographic confirmation. Diverticulitis is suggested by the presence of localized pain and tenderness, a palpable mass which changes in size, inflammation, bloody stools with otherwise negative findings, and recurrence of episodes. Medical management of uncomplicated diverticulosis is advocated. Definitive indications for surgical intervention in complicated cases have been outlined; these include true complications, possibly malignant lesions, and localized, recurrent, and persistent diverticulitis in carefully selected cases. Prophylactic operation is not generally favored but may be justified in well-selected cases in view of the morbidity associated with complicated surgical procedures.

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References

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    Belding, H. H., III. Acute perforated diverticulitis of the sigmoid colon with generalized peritonitis.A. M. A. Arch. Surg. 74:511, April 1957.

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    Greene, W. W. Diverticulitis of the colon; radical vs. conservative treatment.Am. J. Surg. 94:282, 1957.

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    Ransom, H. K. Treatment of diverticulitis of the colon; choice of operation.Am. J. Surg. 92:672, 1956.

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Browne, D.C. Changing concepts in diverticulosis of the colon. Digest Dis Sci 6, 790–797 (1961). https://doi.org/10.1007/BF02231063

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Keywords

  • Public Health
  • Surgical Intervention
  • Surgical Procedure
  • Clinical Diagnosis
  • Medical Management