Prophylactic resection, uncomplicated diverticulitis, and recurrent diverticulitis

Digestive Diseases
Bruce G Wolff, Sarah Y Boostrom

Abstract

The classifications of acute uncomplicated diverticulitis and complicated diverticulitis have served us well for many years. However, in recent years, we have noted the prevalence of variations of uncomplicated diverticulitis, which have not precisely fit under the classification of 'acute resolving uncomplicated diverticulitis', which manifests itself with the typical left lower quadrant pain, fever, diarrhea, elevated white blood count, and CT findings, such as stranding, and which resolves fairly promptly and completely on oral antibiotic therapy. For these other variations, we would suggest we use the term chronic diverticulitis, as a subset of uncomplicated diverticulitis, meaning there is no abscess, stricture, or fistula, but the episode does not respond to the usual antibiotic treatment, and there is a rebound symptomatology once the treatment has stopped, or there is continuing subliminal inflammation that continues, typically, for several weeks after the initial episode without complete resolution. This variation could also be termed 'smoldering' diverticulitis. A second variation of uncomplicated diverticulitis should be termed atypical diverticulitis, since this variant does not manifest all of the usual components ...Continue Reading

References

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Citations

Aug 19, 2015·Langenbeck's Archives of Surgery·Andreas D RinkKarl-Heinz Vestweber
Sep 3, 2013·European Journal of Clinical Investigation·Rosario CuomoBruno Annibale
Apr 18, 2016·Updates in Surgery·Patrick Ambrosetti, Pascal Gervaz
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Mar 18, 2021·World Journal of Gastroenterology : WJG·Mark H Hanna, Andreas M Kaiser

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