Management of post-operative recurrent diverticulitis: a review of the literature.
Recurrent abdominal symptoms following resection for diverticular disease occur in 1-10% of patients. Not all of these patients have recurrent diverticulitis. Other conditions such as carcinoma, irritable bowel syndrome, inflammatory bowel disease and ischaemic colitis should be considered in the differential diagnosis. A thorough investigation including computerized tomography (CT) scanning, contrast studies and colonoscopy must be undertaken. The cause of recurrent diverticulitis may be the result of inadequate previous resection or progression of disease. Re-resection has been required in 0-3.1% of patients in a collected series. Re-resection may be technically demanding although permanent colostomy is usually not necessary. The best method of prevention is adequate initial resection.
Frizelle
F A
FA
Department of Surgery, Ninewells Hospital and Medical School, Dundee, UK.
Dominguez
J M
JM
Santoro
G A
GA
D002277:Carcinoma / Q000175:diagnosis; D017091:Colitis, Ischemic / Q000175:diagnosis; D003109:Colonic Diseases, Functional / Q000175:diagnosis; D003110:Colonic Neoplasms / Q000175:diagnosis; D003113:Colonoscopy; D003125:Colostomy; D003287:Contrast Media; D003937:Diagnosis, Differential; D018450:Disease Progression; D004239:Diverticulitis, Colonic / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D014057:Tomography, X-Ray Computed
D003287:Contrast Media