Diverticulitis in the Young Patient

Minardi Jr., Andrew J.; Johnson, L. W.; Sehon, J. Kenneth; Zibari, Gazi B.; McDonald, John C.
May 2001
American Surgeon;May2001, Vol. 67 Issue 5, p458
Academic Journal
Although predominantly a disease in older adults diverticulitis does affect younger patients. The disease has been described as not only rare but virulent by some authors, and a young patient age is considered to be a relative indication for early sugery. The goal of this study was to evaluate the experience of the Louisiana State University Health Sciences Center--Shreveport and affiliated hospitals with diverticulitis in young patients. This study was a retrospective chart review of 22 patients with diverticulitis age 40 years and younger over the past 20 years. Inclusion criteria were either a diagnosis of diverticulitis confirmed at surgery or positive CT findings and/or a positive contrast enema. The mean age in this study was 32.1 years (range 16-40). All 22 patients presented with abdominal pain. The next most common symptom was nausea and/or vomiting in 45 per cent followed by fever and chills in 36 per cent. Twelve patients had abdominal CTs on admission, and 87 per cent had positive findings. Eighteen patients underwent an operation. Four patients were treated nonoperatively. Nineteen patients had diverticulitis of the sigmoid colon. The remaining three had right-sided diverticulitis. Two patients underwent right hemicolectomy, and one underwent cecectomy. Of the 15 patients with sigmoid diverticulitis 12 (80%) underwent a two-stage procedure of sigmoid colectomy, end colostomy, and Hartmann's pouch. Three patients (20%) underwent a one-stage procedure of sigmoid colectomy and primary anastomosis. Two of three patients undergoing a one-stage procedure required reoperation. Postoperative complications occurred in 10 of 18 patients for an overall incidence of 56 per cent. Two of these patients had septic complications. Both of these patients had a delay in time from admission until operation: one for 7 days and the other for 10 days. There was one death in the series. Colostomy closure was performed successfully in nine of 12 (75%) patients. The m...


Related Articles

  • Guidelines of Diagnostics and Treatment of Acute Left-Sided Colonic Diverticulitis. andeweg, Caroline S.; Mulder, Irene M.; Felt-Bersma, Richelle J.F.; Verbon, annelies; van der Wilt, Gert Jan; van Goor, Harry; Lange, Johan F.; Stoker, Jaap; Boermeester, Marja a.; Bleichrodt, Robert P. // Digestive Surgery;Mar2014, Vol. 30 Issue 4-6, p278 

    Background: The incidence of acute left-sided colonic diverticulitis (ACD) is increasing in the Western world. To improve the quality of patient care, a guideline for diagnosis and treatment of diverticulitis is needed. Methods: A multidisciplinary working group, representing experts of relevant...

  • Spectrum of Disease and Outcome among Patients with Acute Diverticulitis. Mäkelä, Jyrki T.; Kiviniemi, Heikki O.; Laitinen, Seppo T. // Digestive Surgery;2010, Vol. 27 Issue 3, p190 

    Background: This study was designed to evaluate the natural history of patients admitted for acute diverticulitis. Methods: Nine hundred and seventy-seven patients admitted to Oulu University Hospital for acute symptoms of diverticular disease during the 20-year period from 1986 to 2005 were...

  • Perforated Duodenal Diverticulitis: A Report of Three Cases. Miller, George; Mueller, Claudia; Yim, Duke; Macari, Michael; Liang, Howard; Marcus, Stuart; Shamamian, Peter // Digestive Surgery;2005, Vol. 22 Issue 3, p198 

    Background: Duodenal diverticuli are present in up to 22% of the population. However, perforation of a duodenal diverticulum with spillage of enteric contents into the retroperitoneum is rare. Methods: We report three cases of perforated duodenal diverticulitis. Results: Clinical presentations...

  • Current Recommendations on Diagnosis and Management of Right-Sided Diverticulitis. Telem, Dana A.; Buch, Kerri E.; Nguyen, Scott Q.; Chin, Edward H.; Weber, Kaare J.; Divino, Celia M. // Gastroenterology Research & Practice;2009, Vol. 2009, Special section p1 

    We present the case of a 52-year-old female with recurrent symptomatic ascending colon diverticulitis who ultimately underwent elective laparoscopic right hemicolectomy. The following is a case report and literature review pertaining to right colonic diverticular disease.

  • Sigmoid Diverticulitis. Morris, Arden M.; Regenbogen, Scott E.; Hardiman, Karin M.; Hendren, Samantha // JAMA: Journal of the American Medical Association;1/15/2014, Vol. 311 Issue 3, p287 

    IMPORTANCE Diverticulitis is a common disease. Recent changes in understanding its natural history have substantially modified treatment paradigms. OBJECTIVE To review the etiology and natural history of diverticulitis and recent changes in treatment guidelines. EVIDENCE REVIEW We searched the...

  • Sigmoid Diverticulitis.  // JAMA: Journal of the American Medical Association;1/15/2014, Vol. 311 Issue 3, p300 

    An online continuing medical education quiz about sigmoid diverticulitis is presented.

  • Chewing gum speeds recovery time after elective colectomy.  // Nursing Standard;5/17/2006, Vol. 20 Issue 36, p20 

    The article focuses on a prospective, randomized study conducted by a team of American researchers that suggested that chewing gum hastens recovery after elective open colon sigmoid resection by inducing bowel motility and decreasing postoperative obstruction or ileus. The study subjects were...

  • Management of Acute Diverticulitis. Shah, Sachin D.; Cifu, Adam S. // JAMA: Journal of the American Medical Association;7/18/2017, Vol. 318 Issue 3, p291 

    The article offers a study on the treatment of acute uncomplicated diverticulitis (AUD) as presented by the American Gastroenterological Association (AGA). The article reports that previous guidelines for treatment included the selective use of antibiotics, the use of colonoscopy to exclude...

  • Operative or nonoperative management of Hinchey III purulent acute diverticulitis? Costi, Renato; Zarzavadjian le Bian, Alban; Smadja, Claude; Violi, Vincenzo // Canadian Journal of Surgery;Feb2016, Vol. 59 Issue 1, pE2 

    A letter to the editor is presented in response to the article "Laparoscopic Peritoneal Lavage or Sigmoidectomy for Perforated Diverticulitis With Purulent Peritonitis: A Multicentre, Parallel-Group, Randomised, Open-Label Trial" by S. Vennix and colleagues published in the journal "Lancet" in 2015.

  • Routine Screening for Colon Cancer after Conservative Treatment of Diverticulitis. Schout, Pim J.C.; Spillenaar Bilgen, Ernst Jan; Groenen, Marcel J.M. // Digestive Surgery;Jan2013, Vol. 29 Issue 5, p408 

    Background and Aims: It is generally advised to perform colonoscopy after conservatively treated diverticulitis because colon cancer may present itself with similar symptoms, laboratory and radiological results. With this study we investigated in what percentage of patients a malignancy was...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics