By the age of 50 years, 50% of the population will have diverticula of the large bowel. Ten to 20% will experience a clinically significant complication, principally diverticulitis and haemorrhage. As the elderly population grows, a concomitant rise in these patients will occur. Early diagnosis including the recognition of complications is key in reducing morbidity and mortality.
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References
1.
BadhursinghA.VirgoK.KaminskiD.LongoW.Spectrum of disease and outcome of complicated diverticular disease. American Journal of Surgery (2003) 186: p. 696–701
2.
Clinical Knowledge Summaries (2008) Diverticular disease and diverticulitis. Accessed via www.cks.nhs.uk/diverticular_disease [date last accessed 24.06.2010]
3.
FearnheadN.S.MortensenN.J.Clinical features and differential diagnosis of diverticular disease. Best Practice in Research and Clinical Gastroenterology (2002) 16: p. 577–93
4.
FerzocoL.B.RaptopoulosV.SilenW.Acute diverticulitis. New England Journal of Medicine (1998) 338: p. 1521–6
5.
FreischlagJ.BennionR.S.ThompsonJ.E.Jr.Complications of diverticular disease of the colon in young people. Diseases of the Colon and Rectum (1986) 29: p. 639–43
6.
HincheyE.F.SchaalP.G.RichardsG.K.Treatment of perforated diverticular disease. Advances in Surgery (1978) 12: p. 85–109
7.
HobsonK.G.RobertsP.L.Etiology and pathology of diverticular disease. Clinics in Colon and Rectal Surgery (2004) 17 (3): p. 147–15
8.
HulnickD.H.MegibowA.J.BalthazarE.J.NaidichD.P.BosniakM.A.Computed tomography in the evaluation of diverticulitis. Radiology (1984) 152: p. 491–5
KonvolinkaC.W.Acute diverticulitis under age forty. American Journal of Surgery (1994) 167: p. 562–5
13.
LeeY.S.Diverticular disease of the large bowel in Singapore: an autopsy survey. Diseases of the Colon and Rectum (1986) 29: p. 330–5
14.
MorrisC.R.HarveyI.M.StebbingsW.S.SpeakmanC.T.KennedyH.J.HartA.R.Anti-inflammatory drugs, analgesics and the risk of perforated colonic diverticular disease. British Journal of Surgery (2003) 90: p. 1267–72
ReismanY.ZivY.KravrovitcD.NegriM.WollochY.HalevyA.Diverticulitis: the effect of age and location on the course of disease. International Journal of Colorectal Disease (1999) p. 250–4
19.
SchauerP.R.RamosP.GhiatasA.A.SirinekK.R.Virulent diverticular disease in young obese men. American Journal of Surgery (1992) 164: p. 443–8
20.
SimpsonJ.NealK.R.ScholefieldJ.H.SpillerR.C.Patterns of pain in diverticular disease and the influence of diverticulitis. European Journal of Gastroenterology and Hepatology (2003) 15 (9): p. 1005–10
21.
StabileB.E.PuccioE.van SonnenbergE.NeffC.C.Preoperative percutaneous drainage of diverticular abscess. American Journal of Surgery (1990) 159 (1): p. 99–104
22.
StollmanN.RaskinJ.B.Diverticular disease of the colon. Lancet (2004) 363 (9409): p. 631–9
23.
TurunenP.WikströmH.Carpelan-HolmströmM.KairaluomaP.KruunaO.ScheininT.Smoking increases the incidence of complicated diverticular disease of the sigmoid colon. Scandinavian Journal of Surgery (2010) 99 (1): p. 14–7. Accessed via www.fimnet.fi/sjs/articles/SJS12010-14.pdf [date last accessed 23.07.2010]
24.
YoungB.HeathJ.W.Wheater's functional histology—a text and colour atlas (2002). Churchill Livingstone ISBN-10: 044305612
25.
Young-FadokT.M.RobertsP.L.SpencerM.P.WolffB.G.Colonic diverticular disease. Current Problems in Surgery (2000) 37: p. 457–514
