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Practice parameters for the treatment of sigmoid diverticulitis—Supporting documentation

  • Practice Parameters
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Diseases of the Colon & Rectum

Abstract

It should be recognized that these guidelines should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all of the circumstances presented by the individual patient.

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References

  1. Roberts P, Abel M, Rosen L,et al. Practice parameters for sigmoid diverticulitis—supporting documentation. Dis Colon Rectum 1995;38:126–32.

    Article  Google Scholar 

  2. Welch CE, Allen AW, Donaldson GA. An appraisal of resection of the colon for diverticulitis of the sigmoid. Ann Surg 1953;138:332–43.

    PubMed  Google Scholar 

  3. Smithwick RH. Experiences with surgical management of diverticulitis of sigmoid. Ann Surg 1942;115:969–83.

    Google Scholar 

  4. Boles RS Jr, Jordan SM. The clinical significance of diverticulosis. Gastroenterology 1958;35:579–81.

    PubMed  Google Scholar 

  5. Brown PW, Marcley DM. Prognosis of diverticulitis and diverticulosis of the colon. JAMA 1937;109:1328–33.

    Google Scholar 

  6. Horner JL. A study of diverticulitis of the colon in office practice. Gastroenterology 1952;21:223–9.

    PubMed  Google Scholar 

  7. McGowan FJ, Wolff WI. Diverticulitis of sigmoid colon. Gastroenterology 1952;21:119–32.

    PubMed  Google Scholar 

  8. Pemberton J de J, Black BM, Maino CR. Progress in the surgical management of diverticulitis of the sigmoid colon. Surg Gynecol Obstet 1947;85:523–34.

    Google Scholar 

  9. Waugh JM, Walt AJ. Current trends in the surgical treatment of diverticulitis of the sigmoid colon. Surg Clin North Am 1962;42:1267–76.

    PubMed  Google Scholar 

  10. Thompson DA, Bailey HR. Management of acute diverticulitis with abscess. Semin Colon Rectal Surg 1990;1:74–80.

    Google Scholar 

  11. Köhler L, Sauerland S, Neugebauer E. Diagnosis and treatment of diverticular disease: results of a consensus development conference. The Scientific Committee of the European Association for Endoscopic Surgery. Surg Endosc 1999;13:430–6.

    Article  PubMed  Google Scholar 

  12. Rege RV, Nahrwold DL. Diverticular disease. Curr Probl Surg 1989;26:133–89.

    Article  PubMed  Google Scholar 

  13. Gottesman L, Zevon SJ, Brabbee GW, Dailey T, Wichern WA Jr. The use of water-soluble contrast enemas in the diagnosis of acute lower left quadrant peritonitis. Dis Colon Rectum 1984;27:84–8.

    PubMed  Google Scholar 

  14. Morris J, Stellato TA, Haaga JR, Lieberman J. The utility of computed tomography in colonic diverticulitis. Ann Surg 1986;204:128–32.

    PubMed  Google Scholar 

  15. Schwerk WB, Schwartz S, Rothmund M. Sonography in acute colonic diverticulitis: a prospective study. Dis Colon Rectum 1992;35:1077–84.

    PubMed  Google Scholar 

  16. Cho KC, Morehouse HT, Alterman DD, Thornhill BA. Sigmoid diverticulitis: diagnostic role of CT-comparison with barium enema studies. Radiology 1990;176:111–5.

    PubMed  Google Scholar 

  17. Milsom JW, Singh G. Diverticulitis in young patients. Semin Colon Rectal Surg 1990;1:103–8.

    Google Scholar 

  18. Kourtesis GJ, Williams RA, Wilson SE. Acute diverticulitis: safety and value of contrast studies in predicting need for operation. Aust N Z J Surg 1988;58:801–4.

    PubMed  Google Scholar 

  19. Johnson CD, Baker ME, Rice RP, Silverman P, Thompson WM. Diagnosis of acute colonic diverticulitis: comparison of barium enema and CT. AJR Am J Roentgenol 1987;148:541–6.

    PubMed  Google Scholar 

  20. Wexner SD, Dailey TH. The initial management of left lower quadrant peritonitis. Dis Colon Rectum 1986;29:635–8.

    PubMed  Google Scholar 

  21. Hiltunen KM, Kolehmainen H, Vuorinen T, Maitikainen M. Early water-soluble contrast enema in the diagnosis of acute colonic diverticulitis. Int J Colorectal Dis 1991;6:190–2.

    Article  PubMed  Google Scholar 

  22. Duma RJ, Kellum JM. Colonic diverticulitis: microbiologic, diagnostic and therapeutic considerations. Curr Clin Top Infect Dis 1991;11:218–47.

    PubMed  Google Scholar 

  23. Smith TR, Cho KC, Morehouse HT, Kratka PS. Comparison of computed tomography and contrast enema evaluation of diverticulitis. Dis Colon Rectum 1990;33:1–6.

    Article  PubMed  Google Scholar 

  24. Verbanck J, Lambrecht S, Rutgeerts L,et al. Can sonography diagnose acute colonic diverticulitis in patients with acute intestinal inflammation? A prospective study. J Clin Ultrasound 1989;17:661–6.

    PubMed  Google Scholar 

  25. Taylor KJ, Wasson JF, de Graaff C, Rosenfield AT, Andriole VT. Accuracy of grey scale ultrasound diagnosis of abdominal and pelvic abscesses in 220 patients. Lancet 1978;1:8:3–4.

    Google Scholar 

  26. Laitinen R, Tahtinene J, Lantto T, Vorne AM. Tc-99m labeled leukocytes in imaging of patients with suspected acute abdominal inflammation. Clin Nucl Med 1990;15:597–602.

    PubMed  Google Scholar 

  27. Lindahl J, Ristkari SK, Vorne M, Modda RE. 99m-technetium-HMPAO labeled leukocytes in the diagnosis of acute colonic diverticulitis. Acta Chir Scand 1989;155:479–82.

    PubMed  Google Scholar 

  28. Doringer E. Computed tomography of colonic diverticulitis. Crit Rev Diagn Imaging 1992;33:421–35.

    PubMed  Google Scholar 

  29. Balthazar EJ, Megibow A, Schineela RA, Gordon R. Limitations in the CT diagnosis of acute diverticulitis: comparison of CT, contrast enema, and pathologic findings in 16 patients. AJR Am J Roentgenol 1990;154:281–5.

    PubMed  Google Scholar 

  30. Chappuis CW, Cohn I Jr. Acute colonic diverticulitis. Surg Clin North Am 1988;68:301–13.

    PubMed  Google Scholar 

  31. Ertan A. Colonic diverticulitis: recognizing and managing its presentations and complications. Postgrad Med 1990;88:67–72.

    Google Scholar 

  32. Thompson WG, Patel DG. Clinical picture of diverticular disease of the colon. J Clin Gastroenterol 1986;15:903–16.

    Google Scholar 

  33. Cheskin LJ, Bohlman, Schuster MM. Diverticular disease in the elderly. Gastroenterol Clin North Am 1990;19:391–403.

    PubMed  Google Scholar 

  34. Detry R, James J, Kartheuser A,et al. Acute localized diverticulitis: optimum management requires accurate staging. Int J Colorectal Dis 1992;7:38–42.

    Article  PubMed  Google Scholar 

  35. Hachigan MP, Honickman S, Eisenstat TE, Rubin RJ, Salvati EP. Computed tomography in the initial management of acute left-sided diverticulitis. Dis Colon Rectum 1992;35:1123–9.

    Article  PubMed  Google Scholar 

  36. Kellum JM, Sugerman HJ, Coppa GF,et al. Randomized prospective comparison of cefoxitin and gentamycin-clindamycin in the treatment of acute colon diverticulitis. Clin Ther 1992;14:376–84.

    PubMed  Google Scholar 

  37. Larson DM, Masters SS, Spiro HM. Medical and surgical therapy in diverticular disease: a comparative study. Gastroenterology 1976;71:734–7.

    PubMed  Google Scholar 

  38. Haglund U, Hellberg R, Johnsen C, Hulten L. Complicated diverticular disease of the sigmoid colon: an analysis of short and long term outcome in 392 patients. Ann Chir Gynaecol 1979;68:41–6.

    PubMed  Google Scholar 

  39. Parks TG, Connell AM. The outcome of 455 patients admitted for treatment of diverticular disease of the colon. Br J Surg 1970;57:775–8.

    PubMed  Google Scholar 

  40. Nichols RL. Management of intra-abdominal sepsis. Am J Med 1986;80:204–9.

    PubMed  Google Scholar 

  41. Drusano GL, Warren JW, Saah AJ,et al. A prospective randomized controlled trial of cefoxitinversus clindamycin-aminoglycoside in mixed anaerobic-aerobic infections. Surg Gynecol Obstet 1982;154:715–20.

    PubMed  Google Scholar 

  42. Hinchey EF, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg 1978;12:85–109.

    PubMed  Google Scholar 

  43. Painter NS. 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 1982;61:1016–20.

    PubMed  Google Scholar 

  44. Ulin AW, Pearce AE, Weinstein SF. Diverticular disease of the colon: surgical perspectives in the past decade. Dis Colon Rectum 1981;24:276–81.

    PubMed  Google Scholar 

  45. Hackford AW, Schoetz DR Jr, Coller JA, Veidenheimer MC. Surgical management of complicated diverticulitis: the Lahey Clinic experience, 1967 to 1982. Dis Colon Rectum 1985;28:317–21.

    PubMed  Google Scholar 

  46. Eisenstat TE, Rubin RJ, Salvati EP. Surgical management of diverticulitis: the role of the Hartmann procedure. Dis Colon Rectum 1983;26:429–32.

    PubMed  Google Scholar 

  47. Sarin S, Boulous PB. Evaluation of current surgical management of acute inflammatory diverticular disease. Ann R Coll Surg Engl 1991;73:278–82.

    PubMed  Google Scholar 

  48. Benn PL, Wolff BG, Ilstrup DM. Level of anastomosis and recurrent colonic diverticulitis. Am J Surg 1984;27:645–7.

    Google Scholar 

  49. Bakker FC, Hoitsma HF, Otter GD. The Hartmann procedure. Br J Surg 1982;69:580–2.

    PubMed  Google Scholar 

  50. Ling L, Aberg T. Hartmann procedure. Acta Chir Scand 1984;150:413–7.

    PubMed  Google Scholar 

  51. Bell GA, Panton ON. Hartmann resection for perforated sigmoid diverticulitis: a retrospective study of the Vancouver General Hospital experience. Dis Colon Rectum 1984;27:253–6.

    PubMed  Google Scholar 

  52. Hulkko OA, Laitinen ST, Haukipuro KA,et al. The Hartmann procedure for the treatment of colorectal emergencies. Acta Chir Scand 1986;152:531–5.

    PubMed  Google Scholar 

  53. Berry AR, Turner WH, Mortensen NJ, Kettlewell MG. Emergency surgery for complicated diverticular disease: a five year experience. Dis Colon Rectum 1989;32:849–54.

    PubMed  Google Scholar 

  54. Veidenheimer MC, Roberts PL. Colonic diverticular disease. Boston: Blackwell Scientific, 1991.

    Google Scholar 

  55. Deen KI, Madoff RD, Goldberg SM, Rothenberger DA. Surgical management of left colon obstruction: the University of Minnesota experience. J Am Coll Surg 1998;187:573–6.

    Article  PubMed  Google Scholar 

  56. Sher ME, Agachan F, Bortul M, Nogueras JJ, Weiss EG, Wexner SD. Laparoscopic surgery for diverticulitis. Surg Endosc 1997;11:264–7.

    Article  PubMed  Google Scholar 

  57. Bruce CJ, Coller JA, Murray JJ, Schoetz DJ, Roberts PL, Rusin LC. Laparoscopic resection for diverticular disease. Dis Colon Rectum 1996;39(Suppl):S1–6.

    Article  PubMed  Google Scholar 

  58. Coogan S, Klabbatz L, Eisenstat M, Chung R. Laparoscopy versus open sigmoid resection for diverticular disease: a case controlled study [abstract]. Surg Endosc 1997;11:195.

    Google Scholar 

  59. Bergamaschi R, Arnaud J-P. Immediately recognizable benefits and drawbacks after laparoscopic colon resection for benign disease. Surg Endosc 1997;11:802–4.

    Article  PubMed  Google Scholar 

  60. Liberman MA, Phillips EH, Carroll BJ, Fallas M, Rosenthal R. Laparoscopic colectomy for diverticulitis. Surg Endosc 1997;10:15–8.

    Article  Google Scholar 

  61. Burgel JS, Navarro F, Duchene D, Lemoine MC, Fabre JM, Domergue J. Advantages of laparoscopic assisted segmental colectomy over open surgery in diverticular disease [abstract]. Br J Surg 1997;84:55.

    Google Scholar 

  62. Stevenson ARL, Stitz R, Lumley JW,et al. Laparoscopically assisted anterior resection for diverticular disease. Followup of 100 consecutive patients. Ann Surg 1998;227:335–42.

    Article  PubMed  Google Scholar 

  63. Ambrosetti P, Robert J, Witzig JA,et al. Prognostic factors from computed tomography in acute left colonic diverticulitis. Br J Surg 1992;79:117–9.

    PubMed  Google Scholar 

  64. Zollinger RW. The prognosis in diverticulitis of the colon. Arch Surg 1968;97:418–22.

    PubMed  Google Scholar 

  65. Parks TG. Natural history of diverticular disease of the colon: a review of 521 cases. BMJ 1969;4:639–42.

    PubMed  Google Scholar 

  66. Franklin ME Jr, Dorman JP, Jacobs M, Plasencia G. Is laparoscopic surgery applicable to complicated colonic diverticular disease? Surg Endosc 1997;11:1021–5.

    Article  PubMed  Google Scholar 

  67. O'Sullivan GC, Murphy D, O'Brien MG, Ireland A. Laparoscopic management of generalized peritonitis due to perforated colonic diverticulitis. Am J Surg 1996;171:432–4.

    Article  PubMed  Google Scholar 

  68. Montorsi, M, Bianchi P, Santambrogio R, Opocher E, Faranda C, Champault G. Two-stage laparoscopic treatment of the complicated colonic diverticular disease [abstract]. Surg Endosc 1998;12:S74.

    Google Scholar 

  69. Auguste L, Borrero E, Wise L. Surgical management of perforated colonic diverticulitis. Arch Surg 1985;120:450–2.

    PubMed  Google Scholar 

  70. Krukowski ZH, Matheson NA. Emergency surgery for diverticular disease complicated by generalized and faecal peritonitis: a review. Br J Surg 1984;71:921–7.

    PubMed  Google Scholar 

  71. Nagorney DM, Adson MA, Pemberton JH. Sigmoid diverticulitis with perforation and generalized peritonitis. Dis Colon Rectum 1985;28:71–5.

    PubMed  Google Scholar 

  72. Pontari MA, McMillen MA, Garvey RH, Ballantyne GH. Diagnosis and treatment of enterovesical fistulae. Am Surg 1992;58:258–63.

    PubMed  Google Scholar 

  73. Woods RJ, Lavery IC, Fazio VW, Jagelman DG, Weakley FL. Internal fistulas in diverticular disease. Dis Colon Rectum 1988;31:591–6.

    Google Scholar 

  74. Murray JJ, Schoetz DJ Jr, Coller JA, Roberts PL, Veidenheimer MC. Intraoperative colonic lavage and primary anastomosis in nonelective colon resection. Dis Colon Rectum 1991;34:527–31.

    Article  PubMed  Google Scholar 

  75. Tyau ES, Prystowsky JB, Joehl RJ, Nahrwold DL. Acute diverticulitis: a complicated problem in the immunocompromised patient. Arch Surg 1991;26:855–8.

    Google Scholar 

  76. Starnes HF Jr, Lazarus JM, Vineyard G. Surgery for diverticulitis in renal failure. Dis Colon Rectum 1985;28:827–31.

    PubMed  Google Scholar 

  77. Perkins JD, Shield CF III, Change FC,et al. Acute diverticulitis: comparison of non-immunocompromised patients. Am J Surg 1984;148:745–8.

    Article  PubMed  Google Scholar 

  78. Chodak GW, Rangel DM, Passaro E Jr. Colonic diverticulitis in patients under age 40: need for earlier diagnosis. Am J Surg 1981;141:699–702.

    Article  PubMed  Google Scholar 

  79. Eusebio EB, Eisenberg MM. Natural history of diverticular disease of the colon in young patients. Am J Surg 1973;125:308–11.

    Article  PubMed  Google Scholar 

  80. Freischlag J, Bennion RS, Thompson JE Jr. Complications of diverticular disease of the colon in young people. Dis Colon Rectum 1986;29:639–43.

    PubMed  Google Scholar 

  81. Spivak H, Weinrauch S, Harvey JC,et al. Acute colonic diverticulitis in the young. Dis Colon Rectum 1997;40:570–4.

    Article  PubMed  Google Scholar 

  82. Vignati PV, Welch JP, Cohen JL. Long-term management of diverticulitis in young patients. Dis Colon Rectum 1995;38:627–62.

    Article  PubMed  Google Scholar 

  83. Leigh JE, Judd ES, Waugh JM. Diverticulitis of the colon: recurrence after apparently adequate segmental resection. Am J Surg 1962;103:41–54.

    Article  Google Scholar 

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Authors
  1. W. Douglas Wong
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  2. Steven D. Wexner
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  3. Ann Lowry
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  4. Anthony Vernava III
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  5. Marcus Burnstein
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  6. Frederick Denstman
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  7. Victor Fazio
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  8. Bruce Kerner
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  9. Richard Moore
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  10. Gregory Oliver
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  11. Walter Peters
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  13. Peter Senatore
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  14. Clifford Simmang
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Prepared by The Standards Task Force The American Society of Colon and Rectal Surgeons

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Wong, W.D., Wexner, S.D., Lowry, A. et al. Practice parameters for the treatment of sigmoid diverticulitis—Supporting documentation. Dis Colon Rectum 43, 290–297 (2000). https://doi.org/10.1007/BF02258291

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