Diverticulitis: The Indications for Elective Surgery

The incidence of diverticular disease of the colon is discussed, and the indications for surgical interference, over and above those which are absolute, are considered. In the author's experience, a second attack of diverticulitis implies a greater likelihood of subsequent attacks, and a greater likelihood also of more serious complications. In an endeavour to prevent these, the routine daily administration of 250 mg of tetracycline is suggested. "Painful diverticulitis attacks" may in fact have no inflammatory background, but can be due to spastic colon syndrome and can be relieved by sigmoid resection.