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Changing concepts in diverticulosis of the colon

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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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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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