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Review
. 2023 Jul 27;15(1):50-58.
doi: 10.1136/flgastro-2022-102361. eCollection 2024 Jan.

Diverticular disease: update on pathophysiology, classification and management

Sophie Williams  1 , Ingvar Bjarnason  2 , Bu'Hussain Hayee  2 , Amyn Haji  1
Affiliations
Review

Diverticular disease: update on pathophysiology, classification and management

Sophie Williams et al. Frontline Gastroenterol. .

Abstract

Colonic diverticulosis is prevalent, affecting approximately 70% of the western population by 80 years of age. Incidence is rapidly increasing in younger age groups. Between 10% and 25% of those with diverticular disease (DD) will experience acute diverticulitis. A further 15% will develop complications including abscess, bleeding and perforation. Such complications are associated with significant morbidity and mortality and constitute a worldwide health burden. Furthermore, chronic symptoms associated with DD are difficult to manage and present a further significant healthcare burden. The pathophysiology of DD is complex due to multifactorial contributing factors. These include diet, colonic wall structure, intestinal motility and genetic predispositions. Thus, targeted preventative measures have proved difficult to establish. Recently, commonly held conceptions on DD have been challenged. This review explores the latest understanding on pathophysiology, risk factors, classification and treatment options.

Keywords: COLORECTAL SURGERY; DIVERTICULAR DISEASE.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Pathophysiology of diverticular disease (DD). BMI, body mass index; NSAIDs, non-steroidal anti inflammatory drugs.
Figure 2
Figure 2
Classification of diverticular disease (DD). IBS, irritable bowel syndrome.
Figure 3
Figure 3
Treatment of diverticular disease. BMI, body mass index. CRP, C-reactive protein. CTA, computed tomography angiography, IP, inpatient; IR, interventional radiology.
See this image and copyright information in PMC

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