title: The role of surgery in treatment of diverticular disease of lower gastrointestinal tract.
abstract: Diverticulosis of lower gastrointestinal tract is a common disease with potentially lethal complications. Recent studies demonstrated that the number of attacks of uncomplicated diverticulitis is not necessarily an overriding factor in defining the appropriateness of surgery so the approach has to be more individualized. On the other hand, the complicated diverticular disease requires surgical treatment, often matter of urgency, and depends on localization and severity of the process. There is not sufficient evidence supporting the aggressive approach to treatment in younger patients. The available evidence suggests that surgery should be indicated after one attack of uncomplicated disease in immunocompromised individuals.
authors.affiliation: Department of General and Hepatopancreatic Surgery, University Hospital "Alexandrovska", Medical University, Sofia, Bulgaria.
authors.forename: E
authors.initials: E
authors.lastname: Arabadzhieva
mesh_terms: D000208:Acute Disease; D004238:Diverticulitis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D004240:Diverticulum / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006470:Hemorrhage / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D041741:Lower Gastrointestinal Tract / Q000473:pathology / Q000601:surgery*