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Review
. 2011 Jul;25(7):385-9.
doi: 10.1155/2011/795241.

Diverticular disease: epidemiology and management

Adam V Weizman  1 , Geoffrey Christopher Nguyen
Affiliations
Review

Diverticular disease: epidemiology and management

Adam V Weizman et al. Can J Gastroenterol. 2011 Jul.

Abstract
in English, French

Diverticular disease of the colon is among the most prevalent conditions in western society and is among the leading reasons for outpatient visits and causes of hospitalization. While previously considered to be a disease primarily affecting the elderly, there is increasing incidence among individuals younger than 40 years of age. Diverticular disease most frequently presents as uncomplicated diverticulitis, and the cornerstone of management is antibiotic therapy and bowel rest. Segmental colitis associated with diverticula shares common histopathological features with inflammatory bowel disease and may benefit from treatment with 5-aminosalicylates. Surgical management may be required for patients with recurrent diverticulitis or one of its complications including peridiverticular abscess, perforation, fistulizing disease, and strictures and ⁄ or obstruction.

La maladie diverticulaire du côlon est l’une des pathologies les plus prévalentes de la société occidentale et des principales causes de consultations ambulatoires et d’hospitalisations. On croyait qu’elle touchait surtout les personnes âgées, mais son incidence est en croissance auprès des personnes de moins de 40 ans. La maladie diverticulaire se manifeste surtout sous forme de diverticulite sans complication, et la pierre angulaire du traitement est l’antibiothérapie et le repos intestinal. La colite segmentaire associée aux diverticules partage des caractéristiques histopathologiques avec les maladies inflammatoires de l’intestin et peut profiter d’un traitement aux 5-aminosalicylates. Une prise en charge chirurgicale peut s’imposer en présence de diverticulite récurrente ou de l’une de ses complications, y compris un abcès péridiverticulaire, une perforation, une fistulisation et des sténoses ou des obstructions.

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Figures

Figure 1)
Figure 1)
Treatment algorithm for acute diverticulitis. CT Computed tomography; IV Intravenous; NPO Non per oral
See this image and copyright information in PMC

References

    1. Rodky GV, Welch CE. Changing patterns in the surgical treatment of diverticular disease. Ann Surg. 1984;200:466–78. - PMC - PubMed
    1. Etzioni DA, Mack TM, Beart RW, et al. Diverticulisis in the United States: 1998–2005: Changing patterns of disease and treatment. Ann Surg. 2009;249:210–7. - PubMed
    1. Kozak LJ, DeFrances CJ, Hall MJ. National hospital discharge survery: 2004 annual summary with detailed diagnosis and procedure data. Vital Health Stat. 2006;13:1–209. - PubMed
    1. Sandler RS, Everhart JE, Donowitz M, et al. The burden of selected digestive diseases in the United States. Gastroenterology. 2002;122:1500–11. - PubMed
    1. Warner E, Crighton EJ, Moineddin R, et al. Fourteen-year study of hospital admissions for diverticular disease in Ontario. Can J Gastroenterol. 2007;21:97–9. - PMC - PubMed

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