Interdisciplinary Consensus Statement on the Diagnosis and Treatment of Diverticular Disease

• Authors: Anna Pietrzak , Michał Mik , Witold Bartnik , Adam Dziki , Piotr Krokowicz
• Languages of publication: EN
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 5
• Pages: 294-310

Dates

published

1 - 05 - 2013

online

12 - 06 - 2013

Contributors

author

Anna Pietrzak

• Department of Gastroenterology and Hepatology, Medical Center of Postgraduate Education in Warsaw
• Department of Oncological Gastroenterology M. Skłodowska-Curie Memorial Institute in Warsaw

author

Michał Mik

• Department of General and Colorectal Surgery, Medical University in Łódż

author

Witold Bartnik

• Department of Gastroenterology and Hepatology, Medical Center of Postgraduate Education in Warsaw
• Department of Oncological Gastroenterology M. Skłodowska-Curie Memorial Institute in Warsaw

author

Adam Dziki

• Department of General and Colorectal Surgery, Medical University in Łódż

author

Piotr Krokowicz

• Department of General and Colorectal Surgery, J. Struś Memorial Hospital in Poznań

References

• 1. Murphy T, Hunt RH, Fried M, Krabshuis JH: Diverticular disease. WGO Practice Guidelines 2007; 1-16.
• 2. Finney JMT: Diverticulitis and its surgical treatment. Proc. Interstate Post-Grad. Med AssemblyNorth Am 1928; 55: 57-65.
• 3. Klarenbeek BR , de Korte N, van der Peet DL,Cuesta MA: Review of current classifications for diverticular disease and a translation into clinical practice. Int J Colorectal Dis 2012; 27: 207-14.[Crossref]
• 4. Boostrom SY, Wolff BG. Cima WR et al.: Uncomplicated diverticulitis, more complicated than we thought. J Gastrointest Surg 2012; 16: 1744-49.[Crossref]
• 5. Hinchey EJ, Schaal PG, Richards GK: Treatment of perforated diverticular disease of the colon. AdvSurg 1978; 12: 85-109.
• 6. Hansen O, Graupe F, Stock W: Prognostic factors in perforating diverticulitis of the large intestine. Chirurg 1998; 69: 443-49.[Crossref]
• 7. Ambrosetti P, Becker C, Terrier F: Colonic diverticulitis: impact of imaging on surgical management - a prospective study of 542 patients. EurRadiol 2002; 12: 1145-49.
• 8. Strate LL: Lifestyle factors and the course of diverticular disease. Dig Dis 2012; 30: 35-45.[Crossref]
• 9. Bottner M, Wedel T: Abnormalities of neuromuscular anatomy in diverticular disease. Dig Dis 2012; 30: 19-23.[Crossref]
• 10. Commane DM, Arasaradnam RP, Mills S et al.: Diet, ageing and genetic factors in the pathogenesis of diverticular disease. World J Gastroenterol 2009; 15: 2479-88.[Crossref]
• 11. Painter NS, Burkitt DP: Diverticular disease of the colon: a deficiency disease of western civilization. Br Med. J 1971; 2: 450-54.[Crossref]
• 12. Carlson AJ, Hoelzel F: Relation of diet to diverticulosis of the colon in rats. Gastroenterology 1949; 12: 108-15.[PubMed]
• 13. Fisher N, Berry CS, Fearn T et al.: Cereal dietary fiber consumption and diverticular disease: a lifespan study in rats. Am J Clin Nutr 1985; 42: 788-804.
• 14. Peery AF, Barrett PR, Park D et al.: A high - fiber diet does not protect against asymptomatic diverticulosis. Gastroenterology 2012; 142: 266-72.[Crossref]
• 15. Jung H, Chung RS, Locke GR et al.: Diarrhea - predominant irritable bowel syndrome is associated with diverticular isease: a population - based study. Am J Ggastroenterol 2010; 105: 652-61.[Crossref]
• 16. Knowles ChH, De Giorgio R, Kapur RP et al.: The London classification of gastrointestinal neuromuscular pathology: report on behalf of the Gastro 2009 International Working Group. Gut 2010; 59: 882-87.[Crossref]
• 17. Macbeth WA , Hawthorne JH: Intraumural ganglia in diverticular disease of the colon. J ClinPathol 1965; 18: 40-42.
• 18. Bassotti G, Villanacci V: Colonic diverticular disease: abnormalities of neuromuscular function. Dig Dis 2012; 30: 24-28.[Crossref]
• 19. Bassotti G, Battaglia E, Bellone G et al.: Interstitial cells of Cajal, enteric nerves, and glial cells in colonic diverticular disease. J Clin Pathol 2005; 58: 973-77.[Crossref]
• 20. Milner P: Vasoactive intestinal polypeptide levels in sigmoid colon in idiopathic constipation and diverticular disease. Gastroenterology 1990; 99: 666-75.
• 21. Golder M: Longitudinal muscle shows abnormal relaxation responses to nitric oxide and contains altered levels of NOSI and elastin in uncomplicated diverticular disease. Colorectal Dis 2007; 9: 218-28.[Crossref]
• 22. Simpson J: Post inflammatory damage to the enteric nervous system in diverticular disease and its relationship to symptoms. Neurogastroenterol. Motil 2009; 21:847-58.
• 23. Simpson J: Perception and the origin of symptoms in diverticular disease. Dig Dis 2012; 30: 75-79.[Crossref]
• 24. Batra A, Siegmund B: The role of visceral fat. Dig Dis 2012; 30: 70-74.[Crossref]
• 25. Jacobs OD: Diverticulitis. N Engl J Med 2007; 357: 2057-66.[Crossref]
• 26. Humes DJ: Changing epidemiology: does it increase our understanding? Dig Dis 2012; 30: 6-11.[Crossref]
• 27. Jeyarajah S, Faiz O, Bottle A et al.: Diverticular disease hospital admission are increasing, with poor outcomes in the elderly and emergency admissions. Aliment Pharmacol Ther 2009; 30: 1171-82.[Crossref]
• 28. Etzioni, David A, Mack T et al.: Diverticulitis in the United States: 1998-2005: changing patterns of disease and treatment. An Surg 2009; 249: 210-17.
• 29. Nguyen GC, Steinhart AH: Nationwide patterns of hospitalizations to centers with high volume of admissions for inflammatory bowel discease and their impact on mortality. Inflamm. Bowel Dis 2008; 14: 1688-94.[Crossref]
• 30. Faria GR, Almeida AB , Moeira H et al.: Acute diverticulitis in younger patients: any rationale for a different approach? World J Gastroenterol 2011; 17: 207-12.[Crossref]
• 31. Lahat A, Menachem Y, Avidan B et al.: Diverticulitis in the young patient - is it different? WorldJ Gastroenterol 206; 12: 2932-35.
• 32. Afzal N.A, Thomson M: Diverticular disease in adolescence. Best Practice Research Clin Gastroenterol 2002; 16: 621-34.
• 33. West SD, Robinson EK , Delu AN et al.: Am JSurg 2003; 186: 743-46.[Crossref]
• 34. Lederman ED, McCoy G, Conti DJ, Lee EC : Diverticulitis and polycystic kidney disease. AmSurg 2000; 66: 200-03.
• 35. Longo SA, Moore RC , Canzoneri BJ. RobichauxA: Gastrointestinal conditions during pregnancy. Clin Colon Rectal Surg 2010; 23: 80-89.[Crossref]
• 36. Castro M: Diagnosis and management of diverticulitis in women. Prom Care Update Ob/Gyns 2003; 10: 220-23.
• 37. Nair U: Acute abdomen and abdominal pain in pregnancy. Curr Obstet Gynecol 2005; 15: 359-67.[Crossref]
• 38. ASGE Standard of Practice Committee, Shergill AK, Ben-Menachem T et al.: Guidelines for endoscopy in pregnant and lactating women. GastrointestEndosc 2012; 76: 18-24.
• 39. Tursi A, Elisei W, Giorgetti GM et al.: Inflammatory manifestations at colonoscopy in patients with colonic diverticular disease. Aliment PharmacolTher 2011; 33: 358-65.[Crossref]
• 40. Haboubi NY, Alqudah M: Pathology and pathogenesis of diverticular disease and patterns of colonic mucosal changes overlying the diverticula. Dig Dis 2012; 30: 29-34.[Crossref]
• 41. Halligan S, Saunders B et al.: Imaging diverticular disease. Best Practice Research Clin Gastroenterol 2002; 16: 595-610.
• 42. Simpson J, Neal KR , Scholefield JH. SpillerRC : Patterns of pain in diverticular disease and influence of acute diverticulitis. Eur J GastroenterolHepatol 2003; 15: 1005-10.[Crossref]
• 43. Bassotti G, Gaburri M: Manometric investigation of high- amplitude propagated contractile activity of the human colon. Am J Physiol 1988; 255: 660-64.
• 44. Tursi A, Brandimarte G, Elisei W et al.: Fecal calprotectin in colonic diverticular disease: a casecontrol study. Int J Colorectal Dis 2009; 24: 49-55.[Crossref]
• 45. Dumitru E, Alexandrescu L, Suceveanu AI et al.: Fecal calprotectin in diagnosis of complicated colonic diverticular disease. Gastroenterology 2010; 138: S365.
• 46. DeStiger KK , Keating DP: Imaging update: acute colonic diverticulitis. Clin Colon Rectal Surg 2009; 22: 147-155.[Crossref]
• 47. ACR appropriateness criteria, left lower quadrant pain - suspected diverticulitis. 2011; 1-5.
• 48. Annibale B, Laher E, Maconi G: Clinical features of symptomatic uncomplicated diverticular disease: a mulitcenter Italian survey. Int J ColorectalDis 2012; 27: 1151-59.[Crossref]
• 49. Salem TA , Molly RG, Dwyer PJ: Prospective five year follow-up study of patients with symptomatic uncomplicated diverticular disease. Dis ColonRectum 2007; 50: 1460-64.
• 50. Crowe FL, Appleby PN, Allen NE. Key TJ: Diet and risk of diverticular disease in Oxford cohort of european prospective investigation into cancer and nutrition (EPIC): prospective study of British vegetarians and non-vegetarians. BMJ 2011; 343: 1-15.
• 51. Gross V: Aminosalicylates. Dig Dis 2012; 30: 92-99.[Crossref]
• 52. Puylaert JBC M: Ultrasound of colon divertriculitis. Dig Dis 2012; 30: 56-59.[Crossref]
• 53. Bar-Meir S, Lahat A, Melzer E: Role of endoscopy in patients with diverticular disease. Dig Dis 2012; 30: 60-63.
• 54. Sai VF, Velayos F, Neuhaus J, Westphalen AC : Colonoscopy after CT diagnostis of diverticulitis to exclude colon cancer: a systematic literature review. Radiology 2012; 263: 383-90.[Crossref]
• 55. Ambrosetti P: Value of CT for acute left-colonic diverticulitis: the surgeons view. Dig Dis 2012; 30: 51-55.[Crossref]
• 56. Lecleire S, Nahon S, Alatawi A et al.: Diagnostic impact of routine colonoscopy following acute diverticulitis: a multicentre study in 808 patients and controls. Gut 2012; 61: P0902
• 57. Daker C, Brier T, Besherdas K: Is colonoscopy required post CT scan confirming diverticulitis? Gut 2012, 61: P0968.
• 58. Laurell H, Hansson LE, Gunnarsson U: Acute diverticulitis - clinical presentation and differential diagnosis. Colorectal Dis 2007; 9: 496-502.[Crossref]
• 59. Binda GA, Amato A, Serventi A, Arezzo A: Clinical presentation and risks. Dig Dis 2012; 30: 100-07.[Crossref]
• 60. Chautems RC , Ambrosetti P, Ludwig A et al.: Long-term follow-up after first acute episode of sigmoid diverticulitis: is surgery mandatory? DisColon Rectum 2002; 45: 962-66.
• 61. Gervaz P, Buchs NC: Natural history of sigmoid diverticulitis: 5-year result of a prospective monocentric cohort study. Gut 2012; 61: P0972.
• 62. Bianchi M, Festa V, Moretti A et al.: Metaanalysis: long term therapy with rifaximin in the management of uncomplicated diverticular disease. Aliment Pharmacol Ther 2011; 33: 902-10.[Crossref]
• 63. Comparato G, Fanigliulo L, Aragona G et al.: Quality of life in uncomplicated symptomatic diverticular disease: is it another gool reason for treatment. Dig Dis 2012; 30: 252-59.
• 64. Floch MH: Colonic diverticuolsis and diverticulitis: national diveticulitis study group, 2008 update. J Clin Gastroenterol 2008; 42: 1123-24.[Crossref]
• 65. Comparato G, Fanigliulo L, Cavallaro LG et al.: Prevention of complications and symptomatic reccurence in diverticular disease with mesalazine: a 12-month follow-up. Dig Dis Sci 2007; 52: 2934-41.[Crossref]
• 66. Kruis W, Meier E, Schumacher M et al.: Treatment of painful diverticular disease of the colon with mesalazine: a placebo-controlled study. Gastroenterology 2007; 132: A-191.
• 67. Tursi A, Papagrigoriadis S: Review article: the current and evolving treatment of colonic diverticular disease. Alimen Pharmacol Ther 2009; 30: 532-46. [Crossref]
• 68. Hjern F, Josephson F, Altman D et al.: Conservative treatment of acute colonic diverticulitis: are antibiotics always mandatory? Scand J Gastroenterol 2007; 42: 41-47.[Crossref]
• 69. De Kore N, Kuijvenhoven JP, van der Peet DL et al.: Mild colonic diverticulitis can be treated without antibiotics. A case-controlled study. ColorectalDis 2012; 14: 325-30.[Crossref]
• 70. Chabok A, Palman L, Haapaniemi S et al.: Randomized clinical trawl of antibiotics in acute uncomplicated diverticulitis. Br J Surg 2012; 99: 532-39.[Crossref]
• 71. Kahn SR, Lim W, Dunn AS et al.: Prevention of VTE in nonsurgical patients: antitrombotic therapy and prevention of thrombosis, 9th ed: American College fo Chest Physicians evidencebased clinical practice guidelines. Chest 2012; 141: 1-68.
• 72. Etzioni DA, Mack TM, Beart RW . Jr, KaiserAM: Diverticulitis in the United States: 1998-2005: changing patterns of disease and treatment. AnnSurg 2009; 249: 210-17.
• 73. Morris CR , Harvey IM, Stebbings WS, Hart AR : Incidence of perforated diverticulitis and risk factors for death in a UK population. Br J Surg 2008; 95: 876-81.[Crossref]
• 74. Hart AR , Kennedy HJ, Stebbings WS, DayNE: How frequently do large bowel diverticula perforate? An incidence and cross-sectional study. Eur J Gastroenterol Hepatol 2000;12: 661-65.[Crossref]
• 75. Bahadursingh AM, Virgo KS, Kaminski DL,Longo WE : Spectrum of disease and outcome of complicated diverticular disease. Am J Surg 2003;186: 696-701.[Crossref]
• 76. Ambrosetti P, Chautems R, Soravia C et al.: Long-term outcome of mesocolic and pelvic diverticular abscesses of the left colon: a prospective study of 73 cases. Dis Colon Rectum 2005; 48: 787-91.[Crossref]
• 77. Kumar RR , Kim JT, Haukoos JS et al.: Factors affecting the successful management of intra-abdominal abscesses with antibiotics and the need for percutaneous drainage. Dis Colon Rectum 2006; 49: 183-89.[Crossref]
• 78. Destigter KK , Keating DP: Imaging update: acute colonic diverticulitis. Clin Colon Rectal Surg 2009; 22: 147-55.[Crossref]
• 79. Brandt D, Gervaz P, Durmishi Y et al.: Percutaneous CT scan-guided drainage vs. antibiotherapy alone for Hinchey II diverticulitis: a casecontrol study. Dis Colon Rectum 2006; 49: 1533-38.[Crossref]
• 80. Andersen JC, Bundgaard L, Elbrønd H et al.: Danish Surgical Society. Danish national guidelines for treatment of diverticular disease. Dan MedJ 2012; 59: C4453
• 81. Fozard JB, Armitage NC, Schofield JB, JonesOM: Association of Coloproctology of Great Britain and Ireland. ACPGBI position statement on elective resection for diverticulitis. Colorectal Dis 2011; 13 Suppl 3:1-11. [Crossref]
• 82. Kronborg O: Treatment of perforated sigmoid diverticulitis: a prospective randomized trial. Br JSurg 1993; 80: 505-07.[Crossref]
• 83. Salem L, Flum DR: Primary anastomosis or Hartmann’s procedure for patients with diverticular peritonitis? A systematic review. Dis ColonRectum 2004; 47: 1953-64.
• 84. Constantinides VA, Tekkis PP, Athanasiou T et al.: Primary resection with anastomosis vs. Hartmann’s procedure in nonelective surgery for acute colonic diverticulitis: a systematic review. Dis ColonRectum 2006; 49: 966-81.
• 85. Karoui M, Champault A, Pautrat K et al.: Laparoscopic peritoneal lavage or primary anastomosis with defunctioning stoma for Hinchey 3 complicated diverticulitis: results of a comparative study. Dis Colon Rectum 2009; 52: 609-15.[Crossref]
• 86. Rogers AC , Collins D, O’Sullivan GC, WinterDC: Laparoscopic lavage for perforated diverticulitis: a population analysis. Dis Colon Rectum 2012; 55: 932-38.[Crossref]
• 87. Bretagnol F, Pautrat K, Mor C et al.: Emergency laparoscopic management of perforated sigmoid diverticulitis: a promising alternative to more radical procedures. J Am Coll Surg 2008; 206: 654-57.[Crossref]
• 88. Reissfelder C, Buhr HJ, Ritz JP: Can laparoscopically assisted sigmoid resection provide uncomplicated management even in cases of complicated diverticulitis? Surg Endosc 2006; 20:1055-59.[Crossref]
• 89. Le Moine MC, Fabre JM, Vacher C et al.: Factors and consequences of conversion in laparoscopic sigmoidectomy for diverticular disease. BrJ Surg 2003; 90: 232-36.[Crossref]
• 90. Jones OM, Stevenson AR , Clark D et al.: Laparoscopic resection for diverticular disease: followup of 500 consecutive patients. Surg 2008; 248: 1092-97.
• 91. Thaler K, Baig MK, Berho M et al.: Determinants of recurrence after sigmoid resection for uncomplicated diverticulitis. Dis Colon Rectum 2003; 46: 385-88.[Crossref]
• 92. Rafferty J, Shellito P, Hyman NH, Buie WD: Standards Committee of American Society of Colon and Rectal Surgeons. Practice parameters for sigmoid diverticulitis. Dis Colon Rectum 2006; 49: 939-44.[Crossref]
• 93. Tocchi A, Mazzoni G, Fornasari V et al.: Preservation of the inferior mesenteric artery in colorectal resection for complicated diverticular disease. Am J Surg 2001; 182:162-67.[Crossref]
• 94. Collins D, Winter DC: Elective resection for diverticular disease: an evidence-based review. World J Surg 2008; 32: 2429-33.[Crossref]
• 95. Pittet O, Kotzampassakis N, Schmidt S et al.: Recurrent left colonic diverticulitis episodes: more severe than the initial diverticulitis? World J Surg 2009; 33: 547-52.[Crossref]
• 96. Anaya DA, Flum DR: Risk of emergency colectomy and colostomy in patients with diverticular disease. Arch Surg 2005; 140: 681-85. [Crossref]
• 97. Yoo PS, Garg R, Salamone LF et al.: Medical comorbidities predict the need for colectomy for complicated and recurrent diverticulitis. Am J Surg 2008; 196: 710-14.[Crossref]
• 98. Hwang SS, Cannom RR , Abbas MA, Etzioni D: Diverticulitis in transplant patients and patients on chronic corticosteroid therapy: a systematic review. Dis Colon Rectum 2010; 53: 1699-1707.[Crossref]
• 99. Egger B, Peter MK, Candinas D: Persistent symptoms after elective sigmoid resection for diverticulitis. Dis Colon Rectum 2008; 51: 1044-48. [Crossref]
• 100. Pontari MA, McMillen MA, Garvey RH: Ballantyne G,H. Diagnosis and treatment of enterovesical fistulae. Am Surg 1992; 58: 258-63.
• 101. Young-Fadok TM, Roberts PL, Spencer MP,Wolff BG: Colonic diverticular disease. Curr ProblSurg 2000; 37: 457-14.
• 102. Gostout CJ, Wang KK , Ahlquist DA et al.: Acute gastrointestinal bleeding. Experience of a specialized management team. J Clin Gastroenterol 1992; 14: 260-67.[Crossref]

Identifiers

DOI

10.2478/pjs-2013-0045