Complicated diverticular disease of the colon, do we need to change the classical approach, a retrospective study of 110 patients in southeast England

Abstract

Background: Complicated diverticular disease of the colon imposes a serious risk to patient's life, challenge to surgeons and has cost implications for health authority. The aim of this study is to evaluate the management outcome of complicated colonic diverticular disease in a district hospital and to explore the current strategies of treatment.

NSAIDs are a significant risk factor for colonic diverticular hemorrhage in elder patients: Evaluation by a case‐control study

“…The sex difference is similar to that in another Japanese study 14 . However, many Western studies of diverticular hemorrhage have indicated a female predominance or no sex difference at all 1,15,16 . At present, we do not know the precise reason for these differences.…”

“…at all. 1,15,16 At present, we do not know the precise reason for these differences. However racial difference actually exists, like different location of diverticular disease among races.…”

“…However, bleeding is thought to be caused by the rupture of small arteries, with accumulated endothelial damage caused by mechanical strain 6 . Generally, arteriosclerosis is considered to have a pathogenic role in the rupture of diverticular perforating vessels 15,17 . Increased vascular frangibility caused by arteriosclerosis can lead to collapse and bleeding.…”

Changes in Outcome and Management of Perforated Diverticulitis over a 10 Year Period

“…There was no change in the surgical management strategies and additionally there was no increase in the likelihood of subsequent reversal during the study period. This is again reflective of other studies (8,21,22).…”

Eficiencia y seguridad del tratamiento ambulatorio de la diverticulitis aguda

“…La mayoría de los grados II requieren drenaje del absceso intraabdominal de forma percutánea, como complemento al tratamiento antibiótico. El tratamiento quirúrgico se reserva para los casos de diverticulitis complicada con peritonitis (grados III y IV de Hinchey) y, de forma electiva, para los pacientes a partir del segundo episodio y en casos de dificultad para el drenaje radioguiado 9 .…”