The acquired form of diverticular disease is extremely commonin Western society, affecting approximately 5 to 10 percentof the population over 45 years old and almost 80 percent ofthose over 85.1 It is estimated that symptomatic diverticulitiswill develop in only 20 percent of patients with diverticula.The terms diverticulosis and diverticular disease usually refersimply to the presence of uninflamed diverticula. The schemedevised by Hinchey et al.2 is a useful way to classify the varietiesof inflammatory conditions encountered in patients with diverticulardisease. Stage I encompasses patients with small confined pericolonicabscesses, whereas patients with . . . [Full Text of this Article]
Pathogenesis
Diagnosis
Clinical Findings
Imaging Studies
Treatment of Acute Diverticulitis
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From the Departments of Surgery (L.B.F., W.S.) and Radiology (V.R.), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston.
Address reprint requests to Dr. Silen at the Department of Surgery, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215.
References
Related Letters:
Acute Diverticulitis
Janower M. L., Baevsky R., Ahmed A., Warren S. C., Silen W., Ferzoco L.B., Raptopoulos V.
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N Engl J Med 1998;
339:1081-1083, Oct 8, 1998.
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