Côlon & Rectum

, Volume 11, Issue 1, pp 4–8 | Cite as

Histoire naturelle de la diverticulose sigmoïdienne : données actuelles

Dossier Thématique / Thematic File
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Résumé

La diverticulose est une affection fréquente, en augmentation dans la population mondiale. Elle est retrouvée dans les séries endoscopiques et scanographiques dans plus de 60 % des cas après 65 ans. Depuis la rédaction des recommandations en 2006, la littérature est abondante en particulier sur le suivi à long terme des patients atteints de diverticulose. La diverticulite complique environ 20 % des diverticuloses. C’est la complication la plus fréquente. Après une poussée de diverticulite aiguë, le risque de récidive est de 16 % à long terme, sans augmentation de la gravité des poussées. Certains facteurs de risque exposent à des diverticulites compliquées : les patients transplantés, immunodéprimés, sous corticothérapie, insuffisants rénaux, tabagiques. Les données récentes remettent en cause le dogme de la chirurgie prophylactique en tenant compte de l’âge qui ne semble pas intervenir dans le risque ultérieur, et démontrent que les récidives de diverticulites semblent moins fréquentes et moins graves que supposé dans les publications historiques.

Mots clés

Diverticulose colique Diverticulite Pronostic 

Current knowledge about natural history of sigmoid diverticulitis

Abstract

Diverticulosis is a common situation. Prevalence is increasing among the general population. Based on endoscopic and imaging series, it occurs in more than 60% after 65 years old. Acute diverticulitis is a classical complication of diverticulosis and occurs in 20% of the patients. Recurrence of diverticulitis after a first episode occurs in 16% of the cases. Risk factors such as immunosuppressive drugs, steroids, renal failure, transplant and tobacco increase the risk of complicated diverticulitis. Recent publications show that recurrent diverticulitis is less frequent that expected and the age of the patient doesn’t influence the risk of acute emergency surgery.

Keywords

Diverticulosis Diverticulitis Prognosis 

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Copyright information

© Lavoisier 2017

Authors and Affiliations

  1. 1.Service de chirurgie viscéraleCHU de Toulouse, pavillon DieulafoyToulouseFrance

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