Diagnosis and management of right colonic diverticular disease: A review.
The aim of this narrative review is to define the clinical-pathological characteristics and to clarify the management of right colonic diverticular disease. It is rare in Europe, USA and Australia and more common in Asia. In the recent years its incidence has increased in the West, with various distributions among populations. Many studies have reported that it is difficult to differentiate the presenting symptoms of this disease from those of appendicitis before surgery, because the signs and symptoms are similar, so misdiagnosis is not infrequent. With accurate imaging studies it is possible to reach a precise preoperative diagnosis, in order to assess an accurate treatment strategy. Currently the management of this disease is not well defined, no clear guidelines have been proposed and it is not known whether the guidelines for left colonic diverticular disease can also be applied for it. Several authors have stated that conservative management is the best approach, even in case of recurrence, and surgery should be indicated in selected cases.
Departamento de Medicina, Cirugía y Neurociencias, Universidad de Siena, Siena, Italia; Departamento de Cirugía General y Digestiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: frr.fra@gmail.com.
Francesco
F
Ferrara
Departamento de Cirugía General y Digestiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
Jesús
J
Bollo
Departamento de Medicina, Cirugía y Neurociencias, Universidad de Siena, Siena, Italia.
Letizia V
LV
Vanni
Departamento de Cirugía General y Digestiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.
Eduardo M
EM
Targarona
D043963:Diverticulosis, Colonic / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans
Clinical presentation; Diverticulitis cólica derecha; Enfermedad diverticular del colon derecho; Management; Presentación clínica; Right colon diverticulitis; Right colonic diverticular disease; Tratamiento