Journal of Gastrointestinal Surgery

, Volume 11, Issue 4, pp 542–548 | Cite as

Controversies in the Surgical Management of Sigmoid Diverticulitis

  • Liliana Bordeianou
  • Richard Hodin


The timing and appropriateness of surgical treatment of sigmoid diverticular disease remain a topic of controversy. We have reviewed the current literature on this topic, focusing on issues related to the indications and types of surgery. Current evidence would suggest that elective surgery for diverticulitis can be avoided in patients with uncomplicated disease, regardless of the number of recurrent episodes. Furthermore, the need for elective surgey should not be influenced by the age of the patient. Operation should be undertaken in patients with severe attacks, as determined by their clinical and radiological evaluation.


Sigmoid diverticulitis Surgical management Diagnosis Elective surgery 


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Copyright information

© The Society for Surgery of the Alimentary Tract 2007

Authors and Affiliations

  1. 1.Department of SurgeryMassachusetts General HospitalBostonUSA

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