Danish national guidelines for treatment of diverticular disease

Danish Medical Journal

Volumn 59, Issue 5, 2012, Pages

  Andersen, Jens Christian ^a   Bundgaard, Lars ^b   Elbrønd, Henrik ^b   Laurberg, Søren ^b   Walker, Line Rosell ^b   Støvring, Jens ^b  

^a AALBORG UNIVERSITY HOSPITAL   (Denmark)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; ISPAGULA; NONSTEROID ANTIINFLAMMATORY AGENT; RIFAXIMIN;

ABSCESS DRAINAGE; ARTICLE; COLONOSCOPY; CONSERVATIVE TREATMENT; CYSTOCOLIC FISTULA; DIETARY FIBER; DIVERTICULOSIS; ELECTIVE SURGERY; HUMAN; IMMUNOSUPPRESSIVE TREATMENT; LAPAROSCOPY; META ANALYSIS (TOPIC); MORBIDITY; MORTALITY; MULTICENTER STUDY (TOPIC); OBESITY; PATHOGENESIS; PHYSICAL ACTIVITY; PRACTICE GUIDELINE; PREVALENCE; RANDOMIZED CONTROLLED TRIAL (TOPIC); RECURRENT DISEASE; RISK; STAGING; STOMA;

EID: 84873122068     PISSN: None     EISSN: 22451919     Source Type: Journal    
DOI: None     Document Type: Article

References (121)

1. West AB. The pathology of diverticulitis. J Clin Gastroenterologi 2008;42:1137-1138
2. Painter NS, Truelove SC, Ardran GM et al. Segmentation and the localization of intraluminal pressures in the human colon, with special reference to the pathogenesis of colonic diverticula. Gastroenterology 1965 Aug;49:169-77
3. th century problem. Clin Gastroenterol. 1975 Jan;4 (1): 3-21
4. Burkitt DP, Walker AR, Painter NS. Effect of dietary fiber on stools and the transit-times, and its role in the causation of disease. Lancet 1972 Dec;2 (7792): 1408-12
5. Fisher N, Berry CS, Fearn T et al. Cereal dietary fiber consumption and diverticular disease: a lifespan study in rats. Am J Clin Nutr 1985 Nov;42 (15): 788-80
6. Aldoorii WH, Giovannucci EL, Rockett HRH et al. A prospective study of dietary fiber and symptomatic diverticular disease in men. J Nutr 1998;128:714-719
7. Aldoori WH, Giovannucci EL, Rimm EB et al. A prospective study of physical activity and the risk of symptomatic diverticular disease in men. Gut 1995;36:276-82
8. Strate LL, Liu YL, Aldoori WH et al. Physical activity decreases diverticular complications. Am J Gastroenterol 2009;104: 1221-1230
9. Strate LL, Liu MS, Aldoori WH et al. Obesity increases the risk of diverticulitis and diverticular bleeding. Gastroenterology 2009 Jan;136 (1): 115-122
10. Aldoori WH, Giovannucci EL, Rimm EB et al. Use of acetaminophen and nonsteroidal anti-inflammatory drugs. Arch Fam Med. 1998;7:255-260
11. Aldoori WH, Giovannucci EL, Rimm EB et al. A prospective study study of alkohol, smoking, caffeine, and the risk of symptomatic diverticular disease in men. Ann Epidemiol 1995;5:221-8
12. Hjern F, Wolk A, Hakansson N. Smoking and the risk of diverticular disease in women. B J Surg 2011 Jul;98 (7): 997-1002
13. Commane DM, Arasaradnam RP, Mills S et al. Diet, ageing and genetic factors in the pathogenesis of diverticular disease. World J Gastroenterol 2009 May 28;15 (20): 2479-88
14. Peppas G, Blizionis IA, Oikonomaki D et al. Outcomes after medical and surgical treatment of diverticulitis: a systematic review of the available evidence. J Gastroenterol Hepatol 2007 Sep;22 (9).1360-8
15. Etzioni DA, Mack TM, Beart RW et al. Diverticulitis in the United States: 1998-2005. Changing patterns of disease and treatment. Ann Surg 2009;249:210-7
16. Sethbhakdi S. Pathogenesis of colonic diverticulitis and diverticulosis. Postgrad Med 1976 Dec;60 (6): 76-81
17. Morris CR, Harvey IM, Stebbings WSL et al. Incidence of perforated diverticulitis and risk factors for death in a UK population. Br J Surg 2008;95:876-81
18. Hart AR, Kennedy HJ, Stebbings WS et al. How frequently do large bowel diverticula perforate? An incidence and cross-sectional study. Eur J Gastroenterol Hepatol 2000 Jun;12 (6): 661-5
19. Green BT, Rockey DC, Portwood G et al. Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. Am J Gastroenterol 2005 Nov;100 (11): 2395-402
20. Hinchey EJ, Schaal PGH, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg 1978;12:85-109
21. Hansen O, Stock W. Prophylaktische operation bei der divertikelkrankheit des kolons-stufenkonzept durch exakte stadieinteilung. Langenbecks Arch Chir (Suppl II) 1999:1257-60
22. Germer CT, Gross V. Diverticulitis: When to treat medically, when surgically? Dtsch Arztebl 2007;104 (50): A 3486-91
23. Ambrosetti P. Acute diverticulitis of the left colon: value of the initial CT and timing of elective colectomy. J Gastrointest Surg (2008) 12;1318-1320
24. Ambrosetti P, Becker C, Terrier F. Colonic diverticulitis: impact of imaging on surgical management-a prospective study of 542 patients. Eur Radiol 2002;12:1145-1149
25. Toorenvliet BR, Bakker RFR, Breslau PJ et al. Colonic diverticulitis: a prospective analysis of diagnostic accuracy and clinical decision-making. Colorectal Dis 2010 Mar;12 (3): 179-186
26. Lameris W, van Randen A, van Gulik TM et al. A clinical decision rule to establish the diagnosis of acute diverticulitis at the emergency department. Dis Colon Rectum 2010;53:896-904
27. Lameris W, van Randen A, Bipat S et al. Graded compression ultrasonography and computed tomography in acute colonic diverticulitis: Meta-analysis of test accuracy. Eur Radiol 2008;18:2498.2511
28. Liljegren G, Chabok A, Wickbom M et al. Acute colonic diverticulitis: a systematic review of diagnostic accuracy. Colorectal Dis 2007 Jul;9 (6): 480-8
29. www.cebm.net/index.aspx?o=1025
30. Pradel JA, Adell J-F, Taourel P et al. Acute colonic diverticulitis: prospective comparative evaluation with US and CT. Radiology 1997;205:503-512
31. Verbank J, Lambrecht S, Rutgeerts L et al. Can sonography diagnose acute colonic diverticulitis in patients with acute intestinal inflammation? A prospective study. J Clin Ultrasound 1989;17:661-6
32. Zielke A, Hasse C, Nies C et al. Prospective evaluation of ultrasound in acute colonic diverticulitis. Br J Surg 1997;84:385-8
33. Ajaj W, Ruehm SG, Lauenstein T et al. Dark-lumen magnetic resonance colonography in patients with suspected sigmoid diverticulitis: a feasibility study. Eur Radiol 2005;15:2316-22
34. Farag Soliman M, Wustner M, Sturm J et al. Primary diagnostics of acute diverticulitis of the sigmoid. Ultraschall Med 2004 Sep;25 (5): 342-7
35. Heverhagen JT, Sitter H, Zielke A et al. Prospective evaluation of the value og magnetic resonance imaging in suspected acute sigmoid diverticulitis. Dis Colon Rectum 2008;51:1810-5
36. American College of Radiology ACR Appropriateness Criteria. (2008) www.acr.org/secondarymainmenucategories/quality_s afety/app_criteria.aspx
37. DeStigter KK, Keating DP. Imaging update: acute colonic diverticulitis. Clin Colon Rectal Surg 2009 Aug;22 (3): 147-55
38. Fozard JBJ, Armitage NC, Schofield JB et al. ACPGBI position statement on elective resection for diverticulitis. Colorectal Dis 2011;13 (suppl 3): 1-11
39. Sakhnini E, Lahat A, Melzer E et al. Early colonoscopy in patients with acute diverticulitis: results of a prospective pilot study. Endoscopy 2004 Jun;36 (6): 504-7
40. Lahat A, Yanai H, Menachem Y et al. The feasiability and risk of early colonoscopy in acute diverticulitis: a prospective controlled study. Endoscopy. 2007 Jun;39 (6): 521-4
41. King DW, Lubowski DZ, Armstrong AS. Sigmoid stricture at colonoscopy-an indication for surgery. Int J Colorectal Dis. 1990 Aug;5 (3): 161-3
42. Greenlee HB, Pienkos EJ, Vanderbilt PC et al. Acute large bowel obstruction. Arch Surg 1974 Apr;108 (4): 470-6
43. Schwaibold H, Popiel C, Geist E et al. Oral intake of poppy seed: a reliable and simple method for diagnosing vesico-enteric fistula. J Urol 2001 Aug;166 (2): 530-1
44. Kwon EO, Armenakas NA, Scharf SC et al. The poppy seed test for colovesical fistula: big bang, little bucks! J Urol 2008 Apr;179 (4): 1425-7
45. Melchior S, Cudovic D, Jones J et al. Diagnosis and surgical management of colovesical fistulas due to sigmoid diverticulitis. J Urol 2009 Sep;182 (3): 978-82
46. Kaiser AM, Jiang JK, Lake JP et al. The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol. 2005 Apr;100 (4): 910-7
47. Sarin S, Boulos PB. Long-term outcome of patients presenting with acute complications of disease. Ann R Coll Surg Engl. 1994;76:117-20
48. Chautems RC, Ambrosetti P, Ludvig A et al. Long-term follow-up after first acute episode of sigmoid diverticulitis: Is surgery mandatory? A prospective study of 118 patients. Dis Colon Rectum 2002;45:962-6
49. Schug-Pass C, Geers P, Hugel O et al. Prospective randomized trial comparing short-term antibiotic therapy versus standard therapy for acute uncomplicated sigmoid diverticulitis. Int J Colorectal Dis. 2010 Jun;25 (6): 751-9
50. Byrnes MC, Mazuski JE. Antimicrobial therapy for acute colonic diverticulitis. Surg Infect (Larchmt). 2009 Apr;10 (2): 143-54
51. Chabok A, Pahlman L, Hjern F et al. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg 2012 Jan 30. doi: 10.1002/bjs.8688. (Epub ahead of print)
52. Hjern F, Josephson T, Altman D et al. Conservative treatment of acute diverticulitis: are antibiotics always mandatory? Scand J Gastroenterol 2007 jan;42 (1): 41-7
53. Bahadursingh AM et al. Spectrum of disease and outcome of complicated diverticular disease. Am J Surg 2003;186:696-701
54. Ambrosetti P, Chautems R, Soravia C et al. Long-term outcome of mesocolic and pelvic diverticular abscesses of the left colon: a prospective study of 73 cases. Dis Colon Rectum 2005;48:787-91
55. Siewert B, Tye G, Kruskal J et al. Impact of CT-guided drainage in the Treatment of Diverticular Abscesses: Size Matters. AJR 2006; 186: 680-686
56. Durmishi Y, Gervaz P, Brandt D et al. Results from percutaneous drainage of Hinchey stage II diverticulitis guided by computer tomography scan. Surg Endosc 2006;20:1129-33
57. Kumar R, Kim JT, Haukoos JS et al. Factors affecting the successful management of intra-abdominal abscesses with antibiotics and the need for percutaneous drainage. Dis Colon Rectum 2006; Feb;49 (2): 183-9
58. Mayo WJ, Wilson LB, Griffin HZ. Acquired diverticulitis of the large intestine. Surg Gynecol Obstet 1907;5:8-15
59. Smithwick RH. Experiences with the surgical management of diverticulitis of the sigmoid. Ann Surg 1942;115:969-83
60. Large JM. Treatment of perforated diverticulitis. Lancet 1964;1:413-414
61. Eng K, Ranson JCH, Localio SA. Resection of the perforated segment. A significant advance in treatment of diverticulitis with free perforation or abscess. Am J Surg 1977;133:67-72
62. Smiley DF. Perforated sigmoid diverticulitis with spreading peritonitis. Am J Surg 1966;111:431-435
63. Giffin JM, Butcher HR, Ackerman LV. Surgical management of colonic diverticulitis. Arch Surg 1967;94:619-26
64. Kronborg O. Treatment of perforated sigmoid diverticulitis: a prospective randomized trial. Br J Surg 1993;80:505-7
65. Zeitoun G, Laurent A, Rouffet F et al. Multicenter randomized clinical trial of primary versus secondary sigmoid resection in generalized peritonitis complicating sigmoid diverticulitis. Br J Surg 2000;87:1366-74
66. Hoemke M, Treckmann J, Schmitz R et al. Complicated diverticulitis of the sigmoid: a prospective study concerning primary resection with secure primary anastomosis. Dig Surg 1999;16:420-4
67. Cady J, Godfroy J, Sibaud O. Primary resectionanastomosis in perforated diverticular sigmoiditis. A propose of 58 cases of peritonitis. Ann Chir 1991; 45: 896-900
68. Umbach TV, Dorzio RA. Primary resection and anastomosis for perforated left colon lesions. Am Surg 1999; 65:931-33
69. Gooszen AW, Tollenaar RA, Geelkerken RH et al. Prospective study of primary anastomosis following sigmoid resection for suspected acute complicated diverticular disease. Br J Surg 2001;88:693-7
70. Richter S, Lindemann W, Kollmar O et al. One stage sigmoid colon resection for perforated diverticulitis (Hinchey stages III and IV) World J Surg 2006;30:1027-32
71. Belmonte C, Klas JV, Perez JJ et al. The Hartmann procedure. First choice or last resort in diverticular disease? Arch Surg 1996;131:612-5
72. Regenet N, Pessaux P, Hennekinne S et al. Primary anastomosis after intraoperative colonic lavage vs. Hartmann's procedure in generalized peritonitis complicating diverticular disease of the colon. Int J Colorectal Dis 2003;18:503-7
73. Ryan P. Emergency resection and anastomosis for perforated sigmoid diverticulitis. ANZ J Surg 1974;44:16-20
74. Maggard MA, Chandler CF, Schmit PJ et al. Surgical diverticulitis: treatment options. Am Surg 2001;67:1185-9
75. Salem L, Flum DR. Primary anastomosis or Hartmann's procedure for patients with diverticular peritonitis? A systematic review. Dis Colon Rectum 2004;47:1953-64
76. Constantinides VA, Tekkis PP, Athanasiou T et al. Primary resection with anastomosis vs. Hartmann procedure in nonelective surgery for acute colonic diverticulitis: a systematic review. Dis Colon Rectum 2006 Jul;49 (7): 966-81
77. Zdichavsky M, Granderath FA, Blumenstock G et al. Acute laparoscopic intervention for diverticular disease (AIDD): a feasible approach. Langenbecks Arch Surg Surg 2009;19:1143-9
78. Agaba EA, Zaidi RM, Ramzy P et al. Laparoscopic Hartmann's procedure: a viable option for treatment of acutely perforated diverticulitis. Surg Endosc 2009;23:1483-6
79. O'Sullivan GC, Murphy D, O'Brien MG et al. Laparoscopic management of generalised peritonitis due to perforated colonic diverticula. Am J Surg 1996;171:432-4
80. Bretagnol F, Pautrat K, Mor C et al. Emergency laparoscopic management of perforated sigmoid diverticulitis: a promising alternative to more radical procedures. J Am Coll Surg 2008;206:654-7
81. Taylor CJ, Layani L, Ghusn MA et al. Perforated diverticulitis managed by laparoscopic lavage. ANZ J Surg 2006;76 (11): 962-5
82. Karoui M, Champault A, Pautrat K et al. Laparoscopic peritoneal lavage or primary anastomosis with defunctioning stoma for Hinchey 3 complicated diverticulitis: results of a comparative study. Dis Colon Rectum 2009;52:609-15
83. Myers E, Hurley M, O'Sullivan GC et al. Laparoscopic peritoneal lavage for generalized peritonitis due to perforated diverticulitis. Br J Surg 2008;95:97-101
84. Swank HA, Vermeulen J, Lange JF et al. The Ladies trial: laparoscopic peritoneal lavage or resection for purulent peritonitis and Hartmann's procedure or resection with primary anastomosis for purulent or faecal peritonitis in perforated diverticulitis. BMC Surg 2010 Oct 18;10:29
85. Klarenbeck BR, Veenhof AA, Bergamaschi R et al. Laparoscopic sigmoid resection for diverticulitis decreases major morbidity rates: a randomized control trial. Short-term results of the sigma trial. Ann Surg 2009;249:39-44
86. Klarenbeek BR, Bergamaschi R, Veenhof AAFA et al. Laparoscopic versus open sigmoid resection for diverticular disease: follow-up assessment of the randomized control Sigma trial. Surg Endosc 2011 Apr;25 (4): 1121-6
87. Klarenbeek BR, Coupe VMH, van der Peet DL, Cuesta MA. The cost effectiveness of elective laparoscopic sigmoid resection for symptomatic diverticular disease: financial outcome of the randomized control Sigma trial. Surg Endosc 2011 Mar;25 (3): 776-83
88. Gervaz P, Inan I, Perneger T et al. A prospective, randomized, single-blind comparison of laparoscopic versus open sigmoid colectomy for diverticulitis. Ann Surg 2010;252:3-8
89. Gervaz P, Mugnier-Konrad B, Morel P et al. Laparoscopic versus open sigmoid resection for diverticulitis: long-term results of a prospective, randomized trial. Surg Endosc 2011 oct;25 (10): 3373-8
90. Purkayastha S, Constantinides VA, Tekkis PP et al. Laparoscopic vs. open resection for diverticular disease: A metaanalysis of non-randomized studies. Dis Colon Rectum 2006;49:446-63
91. Reissfelder C, Buhr HJ, Ritz J-P. Can laparoscopically assisted sigmoid resection provide uncomplicated management even in cases of complicated diverticulitis. Surg Endosc 2006 Jul;20 (7): 1055-9
92. Le Moine MC, Fabre JM, Vacher C et al. Factors and consequences of conversion in laparoscopic sigmoidectomy for diverticular disease. Br J Surg 2003;90:232-6
93. Jones OM, Stevenson ARL, Clark D et al. Laparoscopic resection for diverticular disease: follow up of 500 consecutive patients. Ann Surg 2008 Dec;248 (6): 1092-7
94. Reissfelder C, Burh HJ, Ritz JP. What is the optimal time of surgical intervention after an acute attack of sigmoid diverticulitis: early or late elective laparoscopic resection? Dis Colon Rectum 2006;49:1842-9
95. Benn PL, Wolff BG, Ilstrup DM. Level of anastomosis and recurrent colonic diverticulitis. Am J Surg 1986 Feb;151 (2): 269-71
96. Thaler K, Baig MK, Berho M et al. Determinants of recurrence after sigmoid resection for uncomplicated diverticulitis. Dis Colon Rectum 2003;46:385-8
97. Rafferty J, Shellito P, Hyman NH et al. Recommandations of the standards commitee, ASCRS practice parameters for sigmoid diverticulitis. Dis Colon Rectum 2006;49:939-44
98. Tocchi A, Mazzoni G, Fornasari V et al. Preservation of the inferior mesenteric artery in colorectal resection for complicated diverticular disease. Am J Surg 2001 Aug;182 (2): 162-7
99. Taylor I, Duthie HL. Bran tablets and diverticular disease. Br Med J 1976 Apr;1:988-90
100. Brodribb AJM. Treatment of symptomatic diverticular disease with a high-fibre diet. Lancet 1977 Mar;1:664-6
101. Ornstein MH, Littlewood ER, Baird IM et al. Are fibre supplements really necessary in diverticular disease of the colon? A controlled clinical trial. Br Med J (Clin Res Ed) 1981 Apr;282:1353-6
102. Bianchi M, Festa V, Moretti A et al. Meta-analysis: longterm therapy with rifaximin in the management of uncomplicated diverticular disease. Aliment Pharmacol Ther 2011;33:902-10
103. Collins D, Winter DC. Elective resection for diverticular disease: An evidence-based review. World J Surg 2008;32:2429-33
104. Broderick-Villa G, Burchette RJ, Collins JC et al. Hospitalization for acute diverticulitis does not mandate routine elective colectomy. Arch Surg 2005;140:576-581
105. Pittet O, Kotzampassakis N, Schmidt S et al. Recurrent left colonic episodes: more sever than the initial diverticulitis? World J Surg 2009 Mar;33 (3): 547-52
106. Somasekar K, Foster ME, Haray PN. The natural history of diverticular disease: Is there a role for elective colectomy. J R Coll Surg Edinb 2002;47:481-2
107. Lorimer JW. Is prophylactic resection valid as an indication for elective surgery in diverticular disease? Can J Surg 1997 Dec;40 (6): 445-8
108. Anaya DA, Flum DR. Risk of emergency colectomy and colostomy in patients with diverticular disease. Arch Surg 2005;242:576-81
109. Janes S, Meagher A, Frizelle FA. Elective surgery after diverticulitis. Br J Surg 2005;92:133-42
110. Salem L, Veenstra DL, Sullivan SD et al. The timing of elective colectomy in diverticulitis: a decision analysis. J Am Coll Surg 2004;199:904-12
111. Ricciardi R, Baxter N, Read, TE et al. Is the decline in the surgical treatment for diverticulitis associated with an increase in complicated diverticulitis? Dis Colon Rectum 2009;52 (9): 1558-63
112. Hjern F, Josephson T, Altman D et al. Outcome of younger patients with acute diverticulitis. Br J Surg 2008;95:758-64
113. Yoo PS, Garg R, Salamone LF et al. Medical comorbidities predict the need for colostomy for complicated and recurrent diverticulitis. Am J Surg 2008;196:710-4
114. Klarenbeek BR, Samuels M, van der Wal MA et al. Indications for elective sigmoid resection in diverticular disease. Ann Surg 2010;251 (4): 670-4
115. Hwang SS, Cannom RR, Abbas MA et al. Diverticulitis in transplant patients and patients on chronic corticosteroid therapy: A systematic review. Dis Colon Rectum 2010;53 (12): 1699-1707
116. Horgan AF, McConnell EJ, Wolff BG et al. Atypical diverticular disease: surgical results. Dis Colon Rectum 2001 Sep (44) 9:1315-8
117. Farthmann EH, Ruckauer KD, Haring RU. Evidence-based surgery: diverticulitis-a surgical disease? Langenbeck's Arch Surg 2000 Mar;385 (2): 143-151
118. Egger B, Peter MK, Candidas D. Persistent symptoms after elective sigmoid resection for diverticulitis. Dis Colon Rectum 2008 Jul;51 (7): 1044-8
119. Ambrosetti P, Francis K, De Peyer R et al. Colorectal anastomotic stenosis after elective laparoscopic sigmoidectomy for diverticular disease: a prospective evaluation of 68 cases. Dis Colon Rectum 2008 Sep;51 (9): 1345-9
120. van de Wall BJ, Draaisma WA, Consten EC et al. DIRECT trial. Diverticular recurrences or continuing symptoms: operative versus conservative treatment. A multicenter randomized clinical trial. BMC Surg 2010 Aug 6;10:25
121. Solkar MH, Forshaw MJ, Sankararajah D et al. Colovesical fistula-Is a surgical approach always justified. Colorectal Dis 2005 Sep;7 (5): 467-71