Table of Contents Author Guidelines Submit a Manuscript
Canadian Journal of Gastroenterology
Volume 25, Issue 7, Pages 385-389
http://dx.doi.org/10.1155/2011/795241
Review

Diverticular Disease: Epidemiology and Management

Adam V Weizman1 and Geoffrey C Nguyen1,2

1Division of Gastroenterology, Mount Sinai Hospital, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
2Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Received 16 November 2010; Accepted 18 November 2010

Copyright © 2011 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diverticular disease of the colon is among the most prevalent conditions in western society and is among the leading reasons for outpatient visits and causes of hospitalization. While previously considered to be a disease primarily affecting the elderly, there is increasing incidence among individuals younger than 40 years of age. Diverticular disease most frequently presents as uncomplicated diverticulitis, and the cornerstone of management is antibiotic therapy and bowel rest. Segmental colitis associated with diverticula shares common histopathological features with inflammatory bowel disease and may benefit from treatment with 5-aminosalicylates. Surgical management may be required for patients with recurrent diverticulitis or one of its complications including peridiverticular abscess, perforation, fistulizing disease, and strictures and/or obstruction.