Surgical Aspects of Diverticular Disease

  • A. N. Smith


Diverticular disease of the colon has been described as a disease of Western civilization and its causation attributed to a deficiency of dietary fiber by Painter (1970). Most patients who have operations for diverticular disease nowadays have had a preliminary period of management on a high-fiber diet or a hydrophilic colloid, both of which produce bulkier fecal residues. The latter was shown by Hodgson (1972) to produce a lowering of intraluminal colonic pressures. If excessive intraluminal pressure, as emphasized by Arfwidsson (1964) and Painter (1964) is the important factor in the genesis of diverticular disease, it follows that operations for diverticular disease may have to be judged on their ability to reduce this abnormality. As a consequence, some assessment of the length of time for which the operative change is effective would be valuable. Possibly beneficial changes could easily lapse if the patients continued to be exposed after operation to the same conditions as those obtaining before operation.


Diverticular Disease Circular Muscle Intraluminal Pressure Motility Index Surgical Aspect 
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  1. Attisha, R. P. and Smith, A. N., 1969, Pressure activity of the colon and rectum in diverticular disease before and after sigmoid myotomy, Brit. J. Surg., 56: 891–894.Google Scholar
  2. Arfwidsson, S., Kock, N. C., Lehman, L., 1964, Pathogenesis of multiple diverticula of the colon in diverticular disease, Acta Chir. Scand. Suppl., 342: 1–68.Google Scholar
  3. Findlay, J. M., Smith, A. N., Mitchell, W. D., Anderson, A. J. B. and Eastwood, M. A., 1974, Effects of unprocessed bran on colon function in normal subjects and in diverticular disease, Lancet, 1: 146–148.PubMedCrossRefGoogle Scholar
  4. Hinton, J. M., Lennard-Jones, J. E. and Young, A. C., 1969, Gut, 10: 842–847.PubMedCrossRefGoogle Scholar
  5. Hodgson, J., 1972, Effect of methyl cellulose on rectal and colonic pressure in diverticular disease, Brit. Med. J., 3: 729–731.CrossRefGoogle Scholar
  6. Hodgson, W. J. B., 1973, Transverse taeniomyotomy for diverticular disease, Dis. Colon Rectum, 16: 283.CrossRefGoogle Scholar
  7. Johnson, A. G., 1972, The effect of transverse section of the taeniae coli (taeniomyotomy) on intracolonic pressure in the rabbit, Scand. J. of Gastroent., J 7: 321–327.CrossRefGoogle Scholar
  8. Morson, B. C., 1963, The muscle abnormality in diverticular disease of the sigmoid colon, Brit. J. Radiol., 36: 385–392.CrossRefGoogle Scholar
  9. Painter, N. S., 1964, The aetiology of diverticulosis of the colon with special reference to the action of certain drugs on the behavior of the colon, Ann. Roy. Coll. Surg. Eng., 34: 98–119.PubMedGoogle Scholar
  10. Painter, N. S., 1970, Diverticular disease: a disease of this century, D. M. Publications, June: 3–57.Google Scholar
  11. Painter, N. S., Personal communication, subsequently, Burkitt, D. P., Walker, A. R. P., and Painter, N. S., 1972, Effect of dietary fiber in stools and transit times and its role in the causation of disease, Lancet, 11: 1408–1411.Google Scholar
  12. Parks, T. G., Rectal and colonic studies after resection of the colon for diverticular disease, 1970, Gut, 11: 121–125.PubMedCrossRefGoogle Scholar
  13. Reilly, M., 1966, Sigmoid myotomy, Brit. J. Surg., 53: 859.Google Scholar
  14. Smith, A. N., Attisha, R. P. and Clarke, S., 1971a, Motility after colo-myotomy and resection of the colon for diverticular disease, Am. J. Dig. Dis., 16: 728–733.PubMedCrossRefGoogle Scholar
  15. Smith, A. N., Giannakos, V. and Clarke, S., 1971b, Late results of colo-myotomy, J. Roy. Coll. Surg. Edinb., 16: 276–286.PubMedGoogle Scholar
  16. Smith, A. N., Kirwan, W. O., and Shariff, S., The effects of operations and of bran on the colon in diverticular disease, Proc. Roy. Soc. Med. (in the press).Google Scholar
  17. Watt, J., Marcus, R., 1964, The pathology of diverticulosis of the antimesenteric intertaenial area of the pelvic colon, J. Path. Bact., 88: 97–106.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1975

Authors and Affiliations

  • A. N. Smith
    • 1
  1. 1.Gastrointestinal UnitWestern General HospitalEdinburghScotland

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