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Colonic diverticula. When complications require surgery and when they don't.
Postgrad Med 1992; 92(6):97-8, 101-2, 105, 108 passimPM

Abstract

The value of a high-fiber diet in preventing and treating colonic diverticula is firmly established. Although the diagnosis of diverticulosis is usually made with colonoscopy or barium enema examination, computed tomography has become the test of choice during acute diverticulitis, when the diagnosis cannot be confidently made clinically. Recently developed surgical principles for diverticulitis include radiographically directed drainage with delayed operation for peridiverticular abscess, resection of the site of disease in patients with general peritonitis, and primary anastomosis in most cases requiring urgent intervention. Diverticulosis accompanied by abdominal pain or irregular bowel habits is by itself rarely an indication for surgery. Diverticular bleeding usually resolves spontaneously, but persistent bleeding can usually be successfully treated with segmental colectomy after localization of the bleeding site with colonoscopy or arteriography.

Authors+Show Affiliations

Department of Surgery, University of Missouri-Columbia School of Medicine.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

1332012

Citation

Elfrink, R J., and B W. Miedema. "Colonic Diverticula. when Complications Require Surgery and when They Don't." Postgraduate Medicine, vol. 92, no. 6, 1992, 97-8, 101-2, 105, 108 passim.
Elfrink RJ, Miedema BW. Colonic diverticula. When complications require surgery and when they don't. Postgrad Med. 1992;92(6):97-8, 101-2, 105, 108 passim.
Elfrink, R. J., & Miedema, B. W. (1992). Colonic diverticula. When complications require surgery and when they don't. Postgraduate Medicine, 92(6), 97-8, 101-2, 105, 108 passim.
Elfrink RJ, Miedema BW. Colonic Diverticula. when Complications Require Surgery and when They Don't. Postgrad Med. 1992 Nov 1;92(6):97-8, 101-2, 105, 108 passim. PubMed PMID: 1332012.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Colonic diverticula. When complications require surgery and when they don't. AU - Elfrink,R J, AU - Miedema,B W, PY - 1992/11/1/pubmed PY - 1992/11/1/medline PY - 1992/11/1/entrez SP - 97-8, 101-2, 105, 108 passim JF - Postgraduate medicine JO - Postgrad Med VL - 92 IS - 6 N2 - The value of a high-fiber diet in preventing and treating colonic diverticula is firmly established. Although the diagnosis of diverticulosis is usually made with colonoscopy or barium enema examination, computed tomography has become the test of choice during acute diverticulitis, when the diagnosis cannot be confidently made clinically. Recently developed surgical principles for diverticulitis include radiographically directed drainage with delayed operation for peridiverticular abscess, resection of the site of disease in patients with general peritonitis, and primary anastomosis in most cases requiring urgent intervention. Diverticulosis accompanied by abdominal pain or irregular bowel habits is by itself rarely an indication for surgery. Diverticular bleeding usually resolves spontaneously, but persistent bleeding can usually be successfully treated with segmental colectomy after localization of the bleeding site with colonoscopy or arteriography. SN - 0032-5481 UR - https://www.unboundmedicine.com/medline/citation/1332012/Colonic_diverticula__When_complications_require_surgery_and_when_they_don't_ L2 - http://www.tandfonline.com/doi/full/10.1080/00325481.1992.11701513 DB - PRIME DP - Unbound Medicine ER -