Colonic diverticular disease: Pathophysiology and clinical picture

Digestion

Volumn 73, Issue SUPPL. 1, 2006, Pages 47-57

  Parra Blanco, Adolfo ^a  

^a HOSPITAL UNIVERSITARIO DE CANARIAS   (Spain)

Author keywords

Clinical features; Colonic diverticular disease; Pathophysiology

Indexed keywords

ADRENALIN; HEMOSTATIC AGENT; MATRIX METALLOPROTEINASE; NONSTEROID ANTIINFLAMMATORY AGENT; TISSUE INHIBITOR OF METALLOPROTEINASE;

AGE DISTRIBUTION; ANGIODYSPLASIA; ARTHRITIS; BARIUM ENEMA; BLOOD CLOTTING; CAUSE OF DEATH; CLINICAL EXAMINATION; CLINICAL FEATURE; COHORT ANALYSIS; COLIC; COLITIS; COLON DIVERTICULOSIS; COLON HEMORRHAGE; COLON MOTILITY; COLON SURGERY; COLONOSCOPY; COMORBIDITY; CONSERVATIVE TREATMENT; DIAGNOSTIC APPROACH ROUTE; DIET; DISEASE SEVERITY; DIVERTICULITIS; DRUG CONTRAINDICATION; ELECTIVE SURGERY; ENTERITIS; EPIDEMIOLOGICAL DATA; FOLLOW UP; HEMOSTASIS; HIGH FIBER DIET; HUMAN; INCIDENCE; INTERVENTIONAL RADIOLOGY; IRRITABLE COLON; MANOMETRY; NONHUMAN; PATHOPHYSIOLOGY; PERITONITIS; PREVALENCE; PRIORITY JOURNAL; PYODERMA GANGRENOSUM; RECTUM HEMORRHAGE; RECURRENCE RISK; RECURRENT DISEASE; REVIEW; RISK ASSESSMENT; SYMPTOMATOLOGY; TOTAL COLON RESECTION; TREATMENT INDICATION; TREATMENT OUTCOME;

DIAGNOSIS, DIFFERENTIAL; DIVERTICULUM, COLON; GASTROINTESTINAL MOTILITY; HUMANS; RISK FACTORS;

EID: 33644543787     PISSN: 00122823     EISSN: None     Source Type: Journal    
DOI: 10.1159/000089779     Document Type: Review

References (78)

1. Painter NS, Burkitt D: Diverticular disease of the colon: a deficiency disease of western civilization. Br Med J 1971;ii:450-454.
2. Schoetz DJ: Diverticular disease of the colon: a century-old problem. Dis Colon Rectum 1999;42:703-709.
3. Painter NS, Truelove SC, Ardran GM, Tuckey M: Segmentation and the localization of intraluminal pressures in the human colon, with special reference to the pathogenesis of colonic diverticula. Gastroenterology 1965;49:169-177.
4. Hugues LE: Post-mortem survey of diverticular disease in the colon. I. Diverticulosis and diverticulitis. Gut 1969;10:336-344.
5. Kieff BJ, Eckert GJ, Imperiale TF: Is diverticulosis associated with colorectal neoplasia? A cross-sectional colonoscopic study. Am J Gastroenterol 2004;10:2007-2011
6. Jun S, Stollman N: Epidemiology of diverticular disease. Best Pract Res Clin Gastroenterol 2002;16:529-542.
7. Chia JG, Wilde CC, Ngoi SS, Goh PM, Ong CL: Trends of diverticular disease of the large bowel in a newly developed country. Dis Colon Rectum 1991;34:498-501.
8. Miura S, Kodaira S, Shatari T, Nishioka M, Hosoda Y, Hisa K: Recent trends in diverticulosis of the right colon in Japan: retrospective review in a regional hospital. Dis Colon Rectum 2000;43:1383-1389.
9. Stemmermann GN, Yatani R: Diverticulosis and polyps of the large intestine: a necropsy study of Hawaii Japanese. Cancer 1973;31:1260-1270.
10. Nakaji S, Danjo K, Munakata A, Sugawara K, MacAuley D, Kernohan G, Baxter D: Comparison of etiology of right-sided diverticula in Japan with that of left-sided diverticula in the West. Int J Colorectal Dis 2002;17:365-373.
11. Gear JSS, Fursdon P, Nolan DJ, Ware A, Mann JI, Brodribb AJM: Symptomless diverticular disease and intake of dietary fibre. Lancet 1979;i:511-514.
12. Taylor I, Duthue HL: Bran tablets and diverticular disease. Br Med J 1976;i:988-990.
13. Brodribb AJM: Treatment of symptomatic diverticular disease with a high-fibre diet. Lancet 1977;i:664-666.
14. Ornstein MH, Littlewood ER, McLean Baird I, Fowler J, North WRS, Cox AG: Are fibre supplements really necessary in diverticular disease in the colon? A controlled clinical trial. Br Med J 1981;282:1353-1356.
15. Wess L, Eastwood MA, Edwards CA, Busuttil CA, Miller A: Collagen alteration in an animal model of colonic diverticulosis. Gut 1996;38:701-706.
16. Wess L, Eastwood M, Busuttil A, Edwards C, Miller A: An association between maternal diet and colonic diverticulosis in an animal model. Gut 1996;39:423-427.
17. Aldoori WH, Giovanucci EL, Rimm EB, Wing AL, Trichopoulos DV, Willet WC: A prospective study of diet and the risk of symptomatic diverticular disease in men. Am J Clin Nutr 1994;60:757-764.
18. Aldoori WH, Giovanuci EL, Rockett HR, Sampson L, Rimm EB, Willett WC: A prospective study of dietary fibre types and symptomatic diverticular disease in men. J Nutr 1998;128:714-719.
19. Painter NS, Truelove SC: The intraluminal pressure patterns in diverticulosis of the colon. Gut 1964;5:365-369.
20. Attisha RP, Smith AN: Pressure activity of the colon and rectum in diverticular disease before and after sigmoid myotomy. Br J Surg 1969;56:891-894.
21. Arfwidsson S: Pathogenesis of multiple diverticula of the sigmoid colon in diverticular disease. Acta Chir Scand 1964;342(suppl):1-68.
22. Christopher K, Sadeghi P, Rao S: Investigation of the pathophysiology of diverticular disease. Gastroenterology 2000;118:A833.
23. Sugihara K, Muto T, Morioka Y: Motility study in right sided diverticular disease of the colon. Gut 1983;24:1130-1134.
24. Simpson J, Scholefield JH, Spiller RC: Pathogenesis of colonic diverticula. Br J Surg 2002;89:546-554.
25. Cortesini C, Pantalone D: Usefulness of colonic motility studies in identifying patients at risk for complicated diverticular disease. Dis Colon Rectum 1991;34:339-342.
26. Rao SS, Sadeghi P, Beaty J, Kavlock R, Ackerson K: Ambulatory 24-hour colonic manometry in healthy humans. Am J Physiol 2001;280:G629-G639.
27. Parks T, Connell A: Motility studies in diverticular disease of the colon. Gut 1969;10:538-542.
28. Trotman IF, Misiewicz JJ: Sigmoid motility in diverticular disease and the irritable bowel syndrome. Gut 1988;29:218-222.
29. Shafik A, Ahmed I, Shafik AA, El Sibai O: Diverticular disease: electrophysiologic study and a new concept of pathogenesis. World J Surg 2004;28:411-415.
30. Huizinga JD, Waterfall WE, Stern HS: Abnormal response to cholinergic stimulation in the circular muscle layer of the human colon in diverticular disease. Scand J Gastroenterol 1999;34:683-688.
31. Tomita R, Fujisaki S, Tanjoh K, Fukuzawa M: Role of nitric oxide in the left-sided colon of patients with diverticular disease. Hepatogastroenterology 2000;33:692-696.
32. Golder M, Burleigh DE, Belai A, Ghali L, Ashby D, Lunniss P, Navsaria HA, Williams NS: Smooth muscle cholinergic denervation hypersensitivity in diverticular disease. Lancet 2003;361:1945-1951.
33. Whiteway J, Morson BC: Elastosis in diverticular disease of the sigmoid colon. Gut 1985;26:258-266.
34. Watters D, Smith A, Eastwood MA, Anderson KC, Elton RA, Mugerwa JW: Mechanical properties of the colon: comparison of the features of the African and European colon in vitro. Gut 1985;26:384-392.
35. Mimura T, Emanuel A, Kamm M: Pathophysiology of diverticular disease. Best Pract Res Clin Gastroenterol 2002;16:563-576.
36. Wess L, Eastwood MA, Wee TJ, Busuttil CA, Miller A: Cross-linking of collagen is increased in colonic diverticulosis. Gut 1995;37:91-94.
37. Bode MK, Karttunen TJ, Mäkelä J, Risteli L, Risteli J: Type I and III collagens in human colon cancer and diverticulosis. Scand J Gastroenterol 2000;35:747-752.
38. Medina C, Santana A, Quintero E, Radomski MW, Guarner F: Matrix metalloproteinases in diseases of the gastrointestinal tract (in Spanish). Gastroenterol Hepatol 2004;27:491-497.
39. Mimura T, Bateman AC, Lee EL, Johnson PA, McDonnald PJ, Talbot IC, Kamm MA, MacDonnald TT, Pender SLF: Up-regulation of collagen and tissue inhibitors of matrix metalloproteinase in colonic diverticular disease. Dis Colon Rectum 2004;47:371-379.
40. Stumpf M, Cao W, Klinge U, Klosterhalfen B, Kasperk R, Schumpelick V: Increased distribution of collagen III and reduced expression of matrix metalloproteinase-1 in patients with diverticular disease. Int J Colorectal Dis 2001;16:271-275.
41. Ludeman L, Warren BF, Shepherd N: The pathology of diverticular disease. Best Pract Res Clin Gastroenterol 2002;16:543-562.
42. Goldstein NS, Leon-Armin C, Mani A: Crohn's colitis-like changes in sigmoid diverticulitis specimens is usually an idiosyncratic inflammatory response to the diverticulosis rather than Crohn's colitis. Am J Surg Pathol 2000;24:668-675.
43. Peppercorn MA: The overlap of inflammatory bowel disease and diverticular disease. J Clin Gastroenterol 2004;38:S8-S10.
44. Makapugay LM, Dean PJ: Diverticular disease-associated chronic colitis. Am J Surg Pathol 1996;20:94-102.
45. Tursi A, Brandimarte G, Giorgetti GM, Elisei W: Assessment of small intestinal bacterial overgrowth in uncomplicated acute diverticulitis of the colon. World J Gastroenterol 2005;11:2773-2776.
46. Meyers MA, Alonso DR, Gray GF, Baer JW: Pathogenesis of bleeding colonic diverticulosis. Gastroenterology 1976;71:577-583.
47. Foutch G: Diverticular bleeding: Are non-steroidal anti-inflammatory drugs risk factors of hemorrhage and can colonoscopy predict outcome for patients? Am J Gastroenterol 1995;90:1780-1784.
48. Lanas A, Sekar MC, Hirschowitz BI: Objective evidence of aspirin use in both ulcer and non-ulcer upper and lower gastrointestinal bleeding. Gastroenterology 1992;103:862-869.
49. Almy TP, Howell DA: Diverticular disease of the colon. N Engl J Med 1980;302:324-331.
50. Stollman N, Raskin J: Diverticular disease of the colon. Lancet 2004;363:631-639.
51. Stollman NH, Raskin JB: Diagnosis and management of diverticular disease of the colon in adults. Ad Hoc Practice Parameters Committee of the American College of Gastroenterology. Am J Gastroenterol 1999;94:3110-3121.
52. Bassotti G, Battaglia E, De Roberto G, Morelli A, Tonini M, Villanacci V: Alterations in colonic motility and relationship to pain in colonic diverticulosis. Clin Gastroenterol Hepatol 2005;3:248-253.
53. Otte JJ, Larsen L, Andersen JR: Irritable bowel syndrome and symptomatic diverticular disease - different diseases? Am J Gastroenterol 1986;81:529-531.
54. Clemens CHM, Samsom M, Roelofs J, van Berge Henegouwen GP, Smout AJPM: Colorectal visceral perception in diverticular disease. Gut 2004;53:717-722.
55. Simpson J, Neal KR, Scholefield JH, Spiller RC: Patterns of pain in diverticular disease and the influence of acute diverticulitis. Eur J Gastroenterol Hepatol 2003;15:1005-1010.
56. Latella G, Pimpo MT, Sottili S, Zippi M, Viscido A, Chiaramonte M, Frieri G: Rifaximin improves symptoms of acquired uncomplicated diverticular disease of the colon. Int J Colorectal Dis 2003;18:55-62.
57. Papi C, Ciaco A, Koch M, Capurso L: Efficacy of rifaximin in the treatment of symptomatic diverticular disease of the colon. A multicentre double-blind placebo-controlled trial. Aliment Pharmacol Ther 1995;9:33-39.
58. Parks TG: Natural history of diverticular disease of the colon. A review of 521 cases. Br Med J 1969;iv:639-645.
59. Hinchey EJ, Schaal PH, Richards MB: Treatment of perforated diverticular disease of the colon. Adv Surg 1978;12:85-109.
60. Woods RJ, Lavery IC, Fazio VW, Jagelman DG, Weakley FL: Internal fistulas in diverticular disease. Dis Colon Rectum 1988;31:591-596.
61. Halligan S, Saunders B: Imaging diverticular disease. Best Pract Res Clin Gastroenterol 2002;16:595-610.
62. Klein S, Mayer L, Present DH, Youner KD, Cerulli MA, Sachar DB: Extraintestinal manifestations in patients with diverticulitis. Ann Intern Med 1988;108:700-702.
63. Roberts P, Abel M, Rosen L, Cirocco W, Fleshman J, Leff E, Levien D, Pritchard T, Wexner S, Hicks T, Kennedy H, Oliver G, Reznick R, Robeertson W, Ross T, Rothenberger D, Senatore P, Surrell J, Wong D: Practice parameters for sigmoid diverticulitis. The Standards Task Force American Society of Colon and Rectal Surgeons. Dis Colon Rectum 1995;38:125-132.
64. Schoetz DJ: Uncomplicated diverticulitis: indications for surgery and surgical management. Surg Clin N Am 1993;73:965-974.
65. Aydin HN, Remzi FH: Diverticulitis: when and how to operate? Dig Liver Dis 2004;36:435-445.
66. Spivak H, Weinrauch S, Harvey J, Surick B, Ferstenberg H, Friedman I: Acute diverticulitis in the young. Dis Colon Rectum 1997;40: 570-574.
67. Ambrosetti P, Robert JH, Witzig JA, Mirescu D, Mathey P, Borst F, Rohner A: Acute left colonic diverticulitis: a prospective analysis of 226 consecutive cases. Surgery 1994;115:546-550.
68. Lingenfelser T, Ell C: Lower intestinal bleeding. Best Pract Res Clin Gastroenterol 2001;15:135-153.
69. McGuire HH, Haynes BW: Massive hemorrhage from diverticulosis of the colon. Guidelines for therapy based on bleeding patterns observed in fifty cases. Ann Surg 1972;175:847-853.
70. Elta G: Urgent colonoscopy for acute lower gastrointestinal bleeding. Gastrointest Endosc 2004;59:402-408.
71. Jensen DM, Machicado GA, Jutabha R, Kovacs TO: Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med 2000;342:78-82.
72. Foutch PG, Zimmermann K: Diverticular bleeding and the pigmented protuberance (sentinel clot): clinical implications, histopathological correlation, and results of endoscopic intervention. Am J Gastroenterol 1996;91:2589-2593.
73. Bloomfeld RS, Rockey DC, Shetzline MA: Endoscopic therapy of acute diverticular hemorrhage. Am J Gastroenterol 2001;96:2367-2372.
74. Funaki B, Kostelic JK, Lorenz J, Van Ha T, Yip DL, Rosenblum JD, Leef JA, Straus C, Zaleski GX: Superselective microcoil embolization of colonic haemorrhage. Am J Roentgenol 2001;177:829-836.
75. McGuire HH: Bleeding colonic diverticula. A reappraisal of natural history and management. Ann Surg 1994;220:653-656.
76. Colecchia A, Sandri L, Capodicasa S, Vestito A, Mazzella G, Staniscia T, Roda E, Festi D: Diverticular disease of the colon: new perspectives in symptom development and treatment. World J Gastroenterol 2003;9:1385-1389.
77. Vijayaraghavan SB: High-resolution sonographic spectrum of diverticulosis, diverticulitis, and their complications. J Ultrasound Med 2006;25:75-85.
78. Lawrimore T, Rhea JT: Computed tomography evaluation of diverticulitis. J Intensive Care Med 2004;19:194-204.