Diverticulosis and diverticular disease: Current concepts

Abstract

Colonic diverticula constitute the most common endoscopic anomaly in the Western world. They are responsible for a spectrum of disease. Most presentations associated with colonic diverticula can safely be managed in primary care. The distinction between those patients who are suitable for primary care management and those who require secondary care referral can be difficult to formulate. This article aims to provide a framework, informed by current guidelines, for the management of diverticular disease in primary care, and the identification of patients likely to benefit from referral to secondary care. An overview of the secondary care management of diverticular disease is also provided.