Skip to main content
SpringerLink
Log in

Diverticular Disease of the Colon

  • Chapter
Surgical Management of Anorectal and Colonic Diseases

Abstract

This review on left-sided colonic diverticulosis and diverticulitis is based both on a literature survey and on the findings of a prospective study which was initiated at the University Hospital in Geneva in October 1986. All patients (except those requiring urgent surgery) who were admitted with a presentation suggestive of left-sided colonic diverticulitis and who had never previously been hospitalized with this diagnosis underwent computed tomography (CT) and received a Gastrografin enema (GE) within 72 h of admission. Patients were considered to have diverticulitis if one or both tests were positive and/or if diverticulitis was found at surgery and confirmed histologically. Patients who did not undergo surgery were excluded if the results of both examinations were negative.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alexander J, Karl RC, Skinner DB (1983) Results of changing trends in the surgical management of complications of diverticular disease. Surgery 94:683–690

    CAS  PubMed  Google Scholar 

  2. Almy TP (1965) Diverticular disease of the colon — the new look. Gastroenterology 49:109–112

    Google Scholar 

  3. Ambrosetti P, Robert J, Witzig JA, Rohner A (1993) Acute left colonic diverticulitis: management controversies. A prospective non-randomized study of 226 patients. Dig Surg 10:176–181

    Article  Google Scholar 

  4. Ambrosetti P, Robert J, Mathey P, Rohner A (1994) Left-sided colon and colorectal anastomoses: Doppler ultrasound as an aid to assess bowel vascularization. A prospective evaluation of 200 consecutive elective cases. Int J Colorect Dis 9:211–214

    Article  CAS  Google Scholar 

  5. Ambrosetti P, Robert J, Witzig JA et al (1994) Acute left colonic diverticulitis: a prospective analysis of 226 consecutive cases. Surgery 115:546–550

    CAS  PubMed  Google Scholar 

  6. Ambrosetti P, Robert J, Witzig JA et al (1994) Acute left colonic diverticulitis in young patients. J Am Coll Surg 179:156–160

    CAS  PubMed  Google Scholar 

  7. Ambrosetti P, Grossholz M, Becker C, Terrier F, Morel P (1997) Acute left colonic diverticulitis: value of computed tomography. A prospective study of 423 patients. Br J Surg 84:532–534

    Article  CAS  PubMed  Google Scholar 

  8. Arfwidsson S, Dock NG (1964) Pathogenesis of multiple diverticula of the sigmoid colon in diverticular disease. Acta Chir Scand [Suppl] 342:5–68

    Google Scholar 

  9. Benn PL, Wolff BG, Ilstrup DM (1986) Level of anastomosis and recurrent colonic diverticulosis. Am J Surg 151:269–271

    Article  CAS  PubMed  Google Scholar 

  10. Bonello JC, Howerton RA (1990) Single-stage resection without colostomy in acute diverticulitis. Semin Col Rectal Surg 1:81–86

    Google Scholar 

  11. Boyden AM (1961) Two-stage (obstructive) resection of the sigmoid in selected cases of complicated diverticulitis. Ann Surg [Suppl] 154:210–214

    Article  CAS  PubMed  Google Scholar 

  12. Breen RE, Corman ML, Robertson WG, Prager ED (1986) Are we really operating on diverticulitis? Dis Colon Rectum 29:174–178

    Article  CAS  PubMed  Google Scholar 

  13. Burkitt DP, Walker ARP, Painter NS (1974) Dietary fibre and disease. JAMA 229:1068–1074

    Article  CAS  PubMed  Google Scholar 

  14. Connell AM (1977) Pathogenesis of diverticular disease of the colon. Adv Intern Med 22:377–395

    CAS  PubMed  Google Scholar 

  15. Fleischner FG, Ming SC, Henken EM (1964) Revised concepts on diverticular disease of the colon. Radiology 83:859–871

    CAS  PubMed  Google Scholar 

  16. Greif JM, Fried G, McSherry CK (1980) Surgical treatment of perforated diverticulitis of the sigmoid colon. Dis Colon Rectum 23:483–487

    Article  CAS  PubMed  Google Scholar 

  17. Haglund U, Hellberg R, Johnsen C, Hulten L (1979) Complicated diverticular disease of the sigmoid colon. An analysis of short and long term outcome in 392 patients. Ann Chir Gynaecol 68:41–46

    CAS  PubMed  Google Scholar 

  18. Hartmann H (1923) Note sur un procede nouveau d’extir-pation des cancers de la partie terminate du colon. Bull Med Soc Chir Paris 49:1474–1477

    Google Scholar 

  19. Heller SN, Hackler LR (1978) Changes in the crude fiber content of the American diet. Am J Clin Nutr 32:1510–1514

    Google Scholar 

  20. Hinchey EJ, Schaal PG, Richards GK (1978) Treatment of perforated diverticular disease of the colon. Adv Surg 12:85–109

    CAS  PubMed  Google Scholar 

  21. Horner JL (1958) Natural history of diverticulosis of the colon. Am J Dig Dis 3:343–350

    Article  CAS  PubMed  Google Scholar 

  22. Hulnick DH, Megibow AJ, Balthazar EL et al (1987) Perforated colon neoplasms: correlation of clinical, contrast enema and CT examinations. Radiology 164:611–615

    CAS  PubMed  Google Scholar 

  23. Hyland JMP, Taylor I (1980) Does a high fiber diet prevent the complications of diverticular disease? Br J Surg 67:77–79

    Article  CAS  PubMed  Google Scholar 

  24. Killingback M (1983) Management of perforative diverticulitis. Surg Clin North Am 63:97–115

    CAS  PubMed  Google Scholar 

  25. Kjaergaard J, Fischer AB, Baden H (1984) Hartmann’s operation as an emergency procedure for perforation of the sigmoid colon. Acta Chir Scand 150:255–257

    CAS  PubMed  Google Scholar 

  26. Krukowski ZH, Matheson NA (1984) Emergency surgery for diverticular disease complicated by generalised and faecal peritonitis: a review. Br J Surg 71:921–927

    Article  CAS  PubMed  Google Scholar 

  27. Larson DM, Masters SS, Spiro HM (1976) Medical and surgical therapy in diverticular disease. A comparative study. Gastroenterology 71:734–737

    CAS  PubMed  Google Scholar 

  28. Mallonga ET, Brummelkamp WH, Van Gulik TM, Taat CW (1986) The Hartmann procedure: its role in acute complicated diverticulitis. Nether J Surg 38(6):171–174

    CAS  Google Scholar 

  29. Mayo WJ (1930) Diverticula of the sigmoid colon. Ann Surg 92:739–743

    Article  CAS  PubMed  Google Scholar 

  30. Mendeloff Al (1976) A critic of “fiber deficiency”. Am J Dig Dis 21:109–112

    Article  CAS  PubMed  Google Scholar 

  31. Milsom JW, Böhm B (1996) Laparoscopic colorectal surgery. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  32. Moreaux J, Vons C (1990) Elective resection for diverticular disease of the sigmoid colon. Br J Surg 77:1036–1038

    Article  CAS  PubMed  Google Scholar 

  33. Morson BC (1975) Pathology of diverticular disease of the colon. Clin Gastroenterol 4:37–52

    CAS  PubMed  Google Scholar 

  34. Morson BC (1979) Diverticular disease of the colon. Acta Chir Belg 6:369–376

    Google Scholar 

  35. Mueller PR, Saini S, Wittenberg J et al (1987) Sigmoid diverticular abscess: percutaneous drainage as an adjunct to surgical resection in 24 cases. Radiology 164:321–325

    CAS  PubMed  Google Scholar 

  36. Ouriel K, Schwartz SI (1983) Diverticular disease in the young patient. Surg Gynecol Obstet 156:1–5

    CAS  PubMed  Google Scholar 

  37. Padidar AM, Jeffrey RB Jr, Mindelzun RE, Dolph JF (1994) Differentiating sigmoid diverticulitis from carcinoma on CT scans: mesenteric inflammation suggests diverticulitis. Am J Radiol 163:81–83

    CAS  Google Scholar 

  38. Painter NS (1970) Diverticular disease of the colon — a disease of western civilization. Dis Mon (Jun 1):1–57

    Article  Google Scholar 

  39. Painter NS, Burkitt DP (1975) Diverticular disease of the colon, a 20th century problem. Clin Gastroenterol 4:3–21

    CAS  PubMed  Google Scholar 

  40. Painter NS (1979) The treatment of uncomplicated diverticular disease of the colon with a high fibre diet. Acta Chir Belg 78:359–368

    CAS  PubMed  Google Scholar 

  41. Painter NS (1982) Diverticular disease of the colon. The first of the Western diseases shown to be due to a deficiency of dietary fiber. S Afr Med J 61:1016–1020

    CAS  PubMed  Google Scholar 

  42. Parks TG (1968) Post-mortem studies of the colon with special reference to diverticular disease. Proc R Soc Med 61:30–32

    Google Scholar 

  43. Parks TG (1969) Natural history of diverticular disease of the colon. A review of 521 cases. Br Med J 4:639–642

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  44. Parks TG(1975) Natural history of diverticular disease of the colon. Clin Gastroenterol 4:53–69

    CAS  PubMed  Google Scholar 

  45. Parks TG (1982) The clinical significance of diverticular disease of the colon. Practitioner 226:643–646

    CAS  PubMed  Google Scholar 

  46. Ravo B, Mishrick A, Addei K et al (1987) The treatment of perforated diverticulitis by one-stage intracolonic bypass procedure. Surgery 102:771–776

    CAS  PubMed  Google Scholar 

  47. Roberts PL (1990) Alternatives in surgery for diverticulitis. Semin Col Rectal Surg 1:69–73

    Google Scholar 

  48. Rodkey GV, Welch CE (1984) Changing patterns in the surgical treatment of diverticular disease. Ann Surg 200:466–478

    Article  CAS  PubMed  Google Scholar 

  49. Segal L, Salomon A, Hunt JA (1977) Emergence of diverticular disease in the urban South African black. Gastroenterology 72:215–219

    CAS  PubMed  Google Scholar 

  50. Sikirov BA (1988) Etiology and pathogenesis of diverticu-losis coli: a new approach. Med Hypoth 26:17–20

    Article  CAS  Google Scholar 

  51. Slack WW (1966) Bowel muscle in diverticular disease. Gut 7:668–670

    Article  CAS  PubMed  Google Scholar 

  52. Stemmermann GN, Yatani R (1973) Diverticulosis and polyps of the large intestine: a necropsy study of Hawaii Japanese. Cancer 31:1260–1270

    Article  CAS  PubMed  Google Scholar 

  53. Tinker JH, Roberts SL (1986) Anesthesia risk. In: Miller RD (ed) Anesthesia. Churchill Livingstone, New York, pp 365–377

    Google Scholar 

  54. Verbanck J, Lambrecht S, Rutgeerts L et al (1989) Can sonography diagnose acute colonic diverticulitis in patients with acute intestinal inflammation? A prospective study. J Clin Ultrasound 17:661–666

    Article  CAS  PubMed  Google Scholar 

  55. Warshaw AL, Welch JP, Offinger LW(1976) Acute perforation of the colon associated with chronic corticoid therapy. Am J Surg 131:442–446

    Article  CAS  PubMed  Google Scholar 

  56. Welch CE, Allen AW, Donaldson GA (1953) An appraisal of resection of the colon for diverticulitis of the sigmoid. Ann Surg 138:332–343

    CAS  PubMed  Google Scholar 

  57. Wexner SD, Dailey TH (1986) The initial management of left lower quadrant peritonitis. Dis Colon Rectum 29:635–638

    Article  CAS  PubMed  Google Scholar 

  58. Wilson RG, Smith AN, Macintyre IMC (1990) Complications of diverticular disease and non-steroidal antiinflammatory drugs: a prospective study. Br J Surg 77:1103–1104

    Article  CAS  PubMed  Google Scholar 

Download references

Authors
  1. P. Ambrosetti
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Départment de Chirurgie, Policlinique de Chirurgie, Hôpital Cantonal, Rue Micheli-du-Crest 24, CH-1211, Genève 4, Switzerland

    Marc-Claude Marti

  2. Service de Chirurgie A, Centre Hospitalier Universitaire Vaudois, CH-1011, Lausanne, Switzerland

    Jean-Claude Givel

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Ambrosetti, P. (1998). Diverticular Disease of the Colon. In: Marti, MC., Givel, JC. (eds) Surgical Management of Anorectal and Colonic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10169-8_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-10169-8_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-10171-1

  • Online ISBN: 978-3-662-10169-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation