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Related Concept Videos

Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Crohn's disease
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Inflammatory Bowel Disease I: Introduction01:26

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Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...
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Updated: Jul 5, 2026

A Rat Model of Pouchitis Following Proctocolectomy and Ileal Pouch-Anal Anastomosis Using Dextran Sulfate Sodium
04:05

A Rat Model of Pouchitis Following Proctocolectomy and Ileal Pouch-Anal Anastomosis Using Dextran Sulfate Sodium

Published on: May 31, 2024

Persistent symptoms after elective sigmoid resection for diverticulitis.

Bernhard Egger1, Matthias K Peter, Daniel Candinas

  • 1Department of Visceral and Transplantation Surgery, University of Bern, Bern, Switzerland. bernhard-egger@bluewin.ch

Diseases of the Colon and Rectum
|May 2, 2008
PubMed
Summary
This summary is machine-generated.

Persistent symptoms affect 25% of patients after elective surgery for diverticular disease. Careful discussion of prophylactic surgery indications and preoperative counseling are essential due to potential post-operative symptoms.

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Published on: July 12, 2018

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Diverticular disease management often involves surgery.
  • A subset of patients experiences persistent or recurrent symptoms post-surgery.

Purpose of the Study:

  • To determine the incidence and pattern of persistent symptoms after diverticular disease surgery.
  • To investigate the association between persistent symptoms and preoperative parameters.

Main Methods:

  • Structured interviews were conducted with 124 patients (76.5% follow-up) who underwent surgery for diverticulitis between 1999 and 2004.
  • Follow-up duration ranged from 4 to 72 months (mean 33 months).
  • Nonparametric tests compared outcomes between elective and emergency surgical groups.

Main Results:

  • 25% of patients undergoing elective surgery reported persistent symptoms, including constipation, bloating, cramps, and diarrhea.
  • Disease stage (complicated/uncomplicated) and surgical approach (laparotomy/laparoscopy) did not significantly correlate with symptom occurrence.
  • No recurrent diverticulitis was observed; similar findings were noted in the emergency surgery cohort.

Conclusions:

  • The significant prevalence of persistent symptoms warrants careful consideration of prophylactic surgery indications.
  • Preoperative counseling and informed consent are crucial, highlighting the possibility of persistent symptoms after elective prophylactic surgery.