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Clin Colon Rectal Surg 2021; 34(02): 091-095
DOI: 10.1055/s-0040-1716700
Review Article

Surgical Management of Recurrent Uncomplicated Diverticulitis

Vinay Rai
1   Department of Surgery, University of New Mexico, Albuquerque, New Mexico
,
Nitin Mishra
2   Department of Surgery, Mayo Clinic College of Medicine, Phoenix, Arizona
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Abstract

Sigmoid diverticulitis represents a most common gastroenterological diagnosis in the western world. There has been a significant change in the management of recurrent uncomplicated diverticulitis in the last 10 to 15 years. The absolute number of previous episodes is not used as criteria to recommend surgery anymore. Young age is no longer considered to be an indication for more aggressive surgical treatment. It is accepted that subsequent episodes of diverticulitis are not significantly worse than the first episode. Laparoscopic surgery is now the standard of care for elective surgery for diverticulitis where expertise is available. There is a consensus that decision to perform sigmoid colectomy should be individualized, after careful risk benefit assessment.

Keywords

diverticulitis - recurrent - surgery


Publication History

Article published online:
02 November 2020

© 2020. Thieme. All rights reserved.

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