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Two kinds of diverticular disease
1Colorectal Clinic, St Vincent's Hospital, Melbourne, Australia.
Annals of the Royal College of Surgeons of England
|March 1, 1991
Summary
This study identifies two types of diverticular disease: one causing pain and bowel issues, often linked to perforation, and another causing bleeding, characterized by extensive diverticula. These distinct forms have different clinical presentations and histological findings.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Diverticular disease is a common condition affecting the colon.
- Acquired diverticular disease can manifest with varied clinical presentations.
Purpose of the Study:
- To differentiate between two distinct types of acquired diverticular disease.
- To correlate clinical, radiological, and histological findings with disease presentation.
Main Methods:
- Retrospective analysis of clinical data.
- Review of radiological findings, including barium enemas.
- Histological examination of resected surgical specimens.
Main Results:
- Two types identified: one with pain/bowel symptoms/fistulae (common), the other with bleeding (less common).
- Perforation evidence (histological) was common in the pain/bowel symptom group, but absent in the bleeding group.
- Bleeding-associated diverticular disease showed more extensive and densely packed diverticula on barium enema.
Conclusions:
- Acquired diverticular disease likely comprises two distinct entities.
- One type is associated with perforation and its complications.
- The second type is characterized by bleeding and extensive diverticular disease without evidence of perforation.