title: Changing paradigms in the management of diverticulitis.
abstract: The management of diverticular disease has evolved in the last few decades from a structured therapeutic approach including operative management in almost all cases to a variety of medical and surgical approaches leading to a more individualized strategy. There is an ongoing debate among surgeons about the surgical management of diverticular disease, questioning not only the surgical procedure of choice, but also about who should be operated and the timing of surgery, both in complicated and uncomplicated diverticular disease. This article reviews the current treatment of diverticulitis, with a focus on the indications and methods of surgery in both the emergency and elective settings. Further investigation with good clinical data is needed for the establishment of clear guidelines.
authors: Department of Surgery and Transplantation, Chaim Sheba Medical Center Ramat Gan Israel (affiliated to the Faculty of Medicine, Tel Aviv University), Israel. Electronic address: nir_horesh@hotmail.com.
authors: Nir
authors: N
authors: Horesh
authors: Department of Surgery B, Rabin Medical Center, Petach Tikva 49100, affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 69978, Israel.
authors: Nir
authors: N
authors: Wasserberg
authors: Department of Surgery and Transplantation, Chaim Sheba Medical Center Ramat Gan Israel (affiliated to the Faculty of Medicine, Tel Aviv University), Israel.
authors: Andrew P
authors: AP
authors: Zbar
authors: Department of Surgery and Transplantation, Chaim Sheba Medical Center Ramat Gan Israel (affiliated to the Faculty of Medicine, Tel Aviv University), Israel.
authors: Aviad
authors: A
authors: Gravetz
authors: Department of Surgery and Transplantation, Chaim Sheba Medical Center Ramat Gan Israel (affiliated to the Faculty of Medicine, Tel Aviv University), Israel.
authors: Yaniv
authors: Y
authors: Berger
authors: Department of Surgery and Transplantation, Chaim Sheba Medical Center Ramat Gan Israel (affiliated to the Faculty of Medicine, Tel Aviv University), Israel.
authors: Mordechai
authors: M
authors: Gutman
authors: Department of Surgery and Transplantation, Chaim Sheba Medical Center Ramat Gan Israel (affiliated to the Faculty of Medicine, Tel Aviv University), Israel.
authors: Danny
authors: D
authors: Rosin
authors: Department of Surgery and Transplantation, Chaim Sheba Medical Center Ramat Gan Israel (affiliated to the Faculty of Medicine, Tel Aviv University), Israel.
authors: Oded
authors: O
authors: Zmora
mesh_terms: D019468:Disease Management; D004238:Diverticulitis / Q000601:surgery*; D017558:Elective Surgical Procedures; D006801:Humans; D018579:Patient Selection
keywords: Diverticulitis; Elective surgery; Emergency surgery