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Clin Colon Rectal Surg 2023; 36(01): 057-062
DOI: 10.1055/s-0042-1756511
Review Article

Anastomotic Considerations in Diverticulitis

Shannon L. McChesney
1   Section of Colon and Rectal Surgery, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tenessee
,
Alexander T. Hawkins 
1   Section of Colon and Rectal Surgery, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tenessee
› Author Affiliations Funding A.T.H.'s work on this manuscript was supported by the National Institute of Diabetes and Digestive and Kidney Disease of the National Institutes of Health under award number: K23DK118192.
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Abstract

Diverticulitis is a common indication for colorectal surgery, both in the acute and the elective setting. The anastomosis between the colon and rectum is a critical component of colectomy for diverticular disease and should be approached thoughtfully. This article reviews important surgical considerations when creating a colorectal anastomosis in the setting of diverticular disease, whether following the reversal of an end colostomy, during an acute episode of diverticulitis, or electively for chronic or complicated disease. Timing of surgery and preoperative assessment, minimally invasive approaches, and intraoperative maneuvers and considerations are discussed.

Keywords

diverticulitis/diverticular disease - anastomosis - colorectal surgery - Hartmann's procedure - colostomy reversal


Publication History

Article published online:
18 October 2022

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