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Colonic diverticular disease.
Aust Fam Physician. 2004 Dec; 33(12):983-6.AF

Abstract

BACKGROUND

Diverticular disease of the colon is common and the spectrum is broad, ranging from asymptomatic diverticulosis to perforation and massive haemorrhage requiring emergency colectomy.

OBJECTIVE

This article discusses the epidemiology, pathophysiology, symptomatology and management of common presentations of diverticular disease including a brief review of surgical management.

DISCUSSION

Management is based on the patient's symptoms and signs with assistance from findings at colonoscopy, computerised tomography scanning and occasionally bleeding localisation studies. For minimally symptomatic patients, a high fibre diet is the mainstay of management. Those with diverticulitis require antibiotics and bowel rest, and hospitalisation may be required. Surgery is indicated for recurrent diverticulitis, complicated diverticulitis, perforation and severe bleeding. This involves resection of the affected colon segment and can be performed laparoscopically or open.

Authors+Show Affiliations

Box Hill Hospital, Victoria. msteel@gisurgical.com.au

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15630918

Citation

Steel, Malcolm. "Colonic Diverticular Disease." Australian Family Physician, vol. 33, no. 12, 2004, pp. 983-6.
Steel M. Colonic diverticular disease. Aust Fam Physician. 2004;33(12):983-6.
Steel, M. (2004). Colonic diverticular disease. Australian Family Physician, 33(12), 983-6.
Steel M. Colonic Diverticular Disease. Aust Fam Physician. 2004;33(12):983-6. PubMed PMID: 15630918.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Colonic diverticular disease. A1 - Steel,Malcolm, PY - 2005/1/6/pubmed PY - 2005/2/11/medline PY - 2005/1/6/entrez SP - 983 EP - 6 JF - Australian family physician JO - Aust Fam Physician VL - 33 IS - 12 N2 - BACKGROUND: Diverticular disease of the colon is common and the spectrum is broad, ranging from asymptomatic diverticulosis to perforation and massive haemorrhage requiring emergency colectomy. OBJECTIVE: This article discusses the epidemiology, pathophysiology, symptomatology and management of common presentations of diverticular disease including a brief review of surgical management. DISCUSSION: Management is based on the patient's symptoms and signs with assistance from findings at colonoscopy, computerised tomography scanning and occasionally bleeding localisation studies. For minimally symptomatic patients, a high fibre diet is the mainstay of management. Those with diverticulitis require antibiotics and bowel rest, and hospitalisation may be required. Surgery is indicated for recurrent diverticulitis, complicated diverticulitis, perforation and severe bleeding. This involves resection of the affected colon segment and can be performed laparoscopically or open. SN - 0300-8495 UR - https://www.unboundmedicine.com/medline/citation/15630918/Colonic_diverticular_disease_ L2 - http://www.racgp.org.au/afp/200412/14258 DB - PRIME DP - Unbound Medicine ER -