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Coexistent Crohn's disease and sigmoid diverticulosis
J McCue1, M J Coppen, S A Rasbridge
1Department of Surgery, Whittington Hospital, London, UK.
Postgraduate Medical Journal
|September 1, 1989
Summary
Segmental resection effectively treated four patients with co-occurring diverticular disease and Crohn's colitis. This surgical approach showed no signs of recurrent disease in the remaining patients, indicating its potential significance.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Inflammatory Bowel Disease
Background:
- Diverticular disease and Crohn's colitis are distinct colonic pathologies.
- Concurrent presentation of these conditions is rare.
- Understanding their combined behavior is crucial for effective management.
Purpose of the Study:
- To evaluate the outcomes of surgical intervention for patients with both diverticular disease and Crohn's colitis.
- To discuss the clinical significance of managing these co-existing conditions.
Main Methods:
- Retrospective case series of six patients.
- All patients underwent segmental resection for diverticular disease with associated localized Crohn's colitis.
Main Results:
- Four out of six patients remained well post-operatively with no disease recurrence.
- Two patients experienced post-operative mortality due to unrelated conditions.
- No further surgery was required for the successfully treated patients.
Conclusions:
- Segmental resection appears to be a viable surgical option for managing co-existing diverticular disease and localized Crohn's colitis.
- The study highlights the importance of considering the behavior and significance of these dual pathologies in patient management.
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