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DOI: 10.1055/s-0031-1295688
Diverticular Disease and the Obese Patient
Publikationsverlauf
Publikationsdatum:
06. Dezember 2011 (online)

ABSTRACT
Diverticular disease is common in the Western world and is a considerable source of morbidity. Many have proposed an association between diverticular disease, its complications, and obesity. We examine this question through a review of the available literature. While it is likely that an association between diverticular disease and obesity exists, there is no evidence suggesting that obese patients should be managed any differently from the non-obese.
KEYWORDS
Diverticulitis - obesity - complicated diverticular disease
REFERENCES
- 1
Kang J Y, Melville D, Maxwell J D.
Epidemiology and management of diverticular disease of the colon.
Drugs Aging.
2004;
21
(4)
211-228
MissingFormLabel
- 2
Morris C R, Harvey I M, Stebbings W SL, Speakman C TM, Kennedy H J, Hart A R.
Epidemiology of perforated colonic diverticular disease.
Postgrad Med J.
2002;
78
(925)
654-658
MissingFormLabel
- 3
Flegal K M, Carroll M D, Kuczmarski R J, Johnson C L.
Overweight and obesity in the United States: prevalence and trends, 1960-1994.
Int J Obes Relat Metab Disord.
1998;
22
(1)
39-47
MissingFormLabel
- 4
Schauer P R, Ramos R, Ghiatas A A, Sirinek K R.
Virulent diverticular disease in young obese men.
Am J Surg.
1992;
164
(5)
443-446
discussion 446-448
MissingFormLabel
- 5
Konvolinka C W.
Acute diverticulitis under age forty.
Am J Surg.
1994;
167
(6)
562-565
MissingFormLabel
- 6
Langdon D E.
Obesity associated with severe acute colonic diverticulitis in the young adult.
Am J Gastroenterol.
2000;
95
(5)
1373
MissingFormLabel
- 7
Dobbins C, Defontgalland D, Duthie G, Wattchow D A.
The relationship of obesity to the complications of diverticular disease.
Colorectal Dis.
2006;
8
(1)
37-40
MissingFormLabel
- 8
Zaidi E, Daly B.
CT and clinical features of acute diverticulitis in an urban U.S. population: rising
frequency in young, obese adults.
AJR Am J Roentgenol.
2006;
187
(3)
689-694
MissingFormLabel
- 9
Korzenik J R. NDSG .
Diverticulitis: new frontiers for an old country: risk factors and pathogenesis.
J Clin Gastroenterol.
2008;
42
(10)
1128-1129
MissingFormLabel
- 10
Strate L L, Liu Y L, Aldoori W H, Syngal S, Giovannucci E L.
Obesity increases the risks of diverticulitis and diverticular bleeding.
Gastroenterology.
2009;
136
(1)
115-122
e1
MissingFormLabel
- 11
Burkitt D P, Walker A R, Painter N S.
Effect of dietary fibre on stools and the transit-times, and its role in the causation
of disease.
Lancet.
1972;
2
(7792)
1408-1412
MissingFormLabel
- 12
Aldoori W H, Giovannucci E L, Rimm E B, Wing A L, Trichopoulos D V, Willett W C.
A prospective study of diet and the risk of symptomatic diverticular disease in men.
Am J Clin Nutr.
1994;
60
(5)
757-764
MissingFormLabel
- 13
Sorser S A, Hazan T B, Piper M, Maas L C.
Obesity and complicated diverticular disease: is there an association?.
South Med J.
2009;
102
(4)
350-353
MissingFormLabel
- 14
Kim J H, Cheon J H, Park S et al..
Relationship between disease location and age, obesity, and complications in Korean
patients with acute diverticulitis: a comparison of clinical patterns with those of
Western populations.
Hepatogastroenterology.
2008;
55
(84)
983-986
MissingFormLabel
- 15
Buckley O, Ward E, Ryan A, Colin W, Snow A, Torreggiani W C.
European obesity and the radiology department. What can we do to help?.
Eur Radiol.
2009;
19
(2)
298-309
MissingFormLabel
- 16
Polotsky H N, Polotsky A J.
One size may not fit all: pondering antibiotic dosing in obesity.
Maturitas.
2010;
66
(4)
381-382
MissingFormLabel
- 17
Falagas M E, Karageorgopoulos D E.
Adjustment of dosing of antimicrobial agents for bodyweight in adults.
Lancet.
2010;
375
(9710)
248-251
MissingFormLabel
- 18
Wurtz R, Itokazu G, Rodvold K.
Antimicrobial dosing in obese patients.
Clin Infect Dis.
1997;
25
(1)
112-118
MissingFormLabel
- 19
Hollenstein U M, Brunner M, Schmid R, Müller M.
Soft tissue concentrations of ciprofloxacin in obese and lean subjects following weight-adjusted
dosing.
Int J Obes Relat Metab Disord.
2001;
25
(3)
354-358
MissingFormLabel
- 20
Smyth E T, Emmerson A M.
Surgical site infection surveillance.
J Hosp Infect.
2000;
45
(3)
173-184
MissingFormLabel
- 21
Smith R L, Bohl J K, McElearney S T et al..
Wound infection after elective colorectal resection.
Ann Surg.
2004;
239
(5)
599-605
discussion 605-607
MissingFormLabel
- 22
Duchesne J C, Wang Y Z, Weintraub S L, Boyle M, Hunt J P.
Stoma complications: a multivariate analysis.
Am Surg.
2002;
68
(11)
961-966
discussion 966
MissingFormLabel
- 23
Liu W H, Pai L, Wu C C, Jao S W, Yeh C C, Hsiao C W.
Postoperatively parastomal infection following emergent stoma creation for colorectal
obstruction: the possible risk factors.
Int J Colorectal Dis.
2008;
23
(9)
869-873
MissingFormLabel
- 24
Bouillot J L, Berthou J C, Champault G et al..
Elective laparoscopic colonic resection for diverticular disease: results of a multicenter
study in 179 patients.
Surg Endosc.
2002;
16
(9)
1320-1323
MissingFormLabel
- 25
Belizon A, Sardinha C T, Sher M E.
Converted laparoscopic colectomy: what are the consequences?.
Surg Endosc.
2006;
20
(6)
947-951
MissingFormLabel
- 26
Tuech J J, Regenet N, Hennekinne S, Pessaux P, Bergamaschi R, Arnaud J P.
Laparoscopic colectomy for sigmoid diverticulitis in obese and nonobese patients:
a prospective comparative study.
Surg Endosc.
2001;
15
(12)
1427-1430
MissingFormLabel
- 27
Pessaux P, Muscari F, Ouellet J F et al..
Risk factors for mortality and morbidity after elective sigmoid resection for diverticulitis:
prospective multicenter multivariate analysis of 582 patients.
World J Surg.
2004;
28
(1)
92-96
MissingFormLabel
- 28
Redan J A, McCarus S D.
Protect the ureters.
JSLS.
2009;
13
(2)
139-141
MissingFormLabel
- 29
Senagore A J, Luchtefeld M.
An initial experience with lighted ureteral catheters during laparoscopic colectomy.
J Laparoendosc Surg.
1994;
4
(6)
399-403
MissingFormLabel
- 30
Blake M F, Dwivedi A, Tootla A, Tootla F, Silva Y J.
Laparoscopic sigmoid colectomy for chronic diverticular disease.
JSLS.
2005;
9
(4)
382-385
MissingFormLabel
Eric K. JohnsonM.D.
Department of Surgery/General Surgery, Madigan Army Medical Center
9040A Fitzsimmons Dr., Ft. Lewis, WA 98431
eMail: doktrj@gmail.com