Highlights & Basics
- Acute diverticulitis typically presents with left lower quadrant abdominal pain, often together with fever and leukocytosis.
- Laboratory test results are not consistently reliable and computed tomography scan is the imaging modality of choice for acute diverticulitis.
- Complications of diverticulitis include perforation, abscess, peritonitis, fistula, stricture, obstruction, or chronic inflammation.
- Treatment for acute diverticulitis may include bowel rest, analgesics, antibiotics, and surgical intervention.
- Diverticulosis is the presence of diverticula without symptoms. It is usually an incidental finding and requires no treatment, although patients may benefit from dietary changes to reduce the risk of progression to diverticulitis.
Quick Reference
History & Exam
Key Factors
Other Factors
Diagnostics Tests
Treatment Options
Definition
Epidemiology
Etiology
Pathophysiology
Citations
Hall J, Hardiman K, Lee S, et al. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the treatment of left-sided colonic diverticulitis. Dis Colon Rectum. 2020 Jun;63(6):728-47.[Abstract][Full Text]
Sartelli M, Weber DG, Kluger Y, et al. 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting. World J Emerg Surg. 2020 May 7;15(1):32.[Abstract][Full Text]
Stollman N, Smalley W, Hirano I; AGA Institute Clinical Guidelines Committee. American Gastroenterological Association Institute guideline on the management of acute diverticulitis. Gastroenterology. 2015 Dec;149(7):1944-9.[Abstract][Full Text]
Peery AF, Shaukat A, Strate LL. AGA clinical practice update on medical management of colonic diverticulitis: expert review. Gastroenterology. 2021 Feb;160(3):906-11.e1.[Abstract][Full Text]
American College of Radiology. ACR appropriateness criteria: left lower quadrant pain. 2023 [internet publication].[Full Text]
Qaseem A, Etxeandia-Ikobaltzeta I, Lin JS, et al; Clinical Guidelines Committee of the American College of Physicians. Diagnosis and management of acute left-sided colonic diverticulitis: a clinical guideline from the American College of Physicians. Ann Intern Med. 2022 Mar;175(3):399-415.[Abstract][Full Text]
1. National Institute for Health and Care Excellence (UK). Diverticular disease: diagnosis and management. Nov 2019 [internet publication].[Full Text]
2. Peery AF. Management of colonic diverticulitis. BMJ. 2021 Mar 24;372:n72.[Abstract]
3. Hall J, Hardiman K, Lee S, et al. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the treatment of left-sided colonic diverticulitis. Dis Colon Rectum. 2020 Jun;63(6):728-47.[Abstract][Full Text]
4. Tursi A. Diverticular disease: a therapeutic overview. World J Gastrointest Pharmacol Ther. 2010 Feb 6;1(1):27-35.[Abstract][Full Text]
5. Andersen JC, Bundgaard L, Elbrønd H, et al. Danish national guidelines for treatment of diverticular disease. Dan Med J. 2012 May;59(5):C4453.[Abstract]
6. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1978;12:85-109.[Abstract]
7. Sartelli M, Weber DG, Kluger Y, et al. 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting. World J Emerg Surg. 2020 May 7;15(1):32.[Abstract][Full Text]
8. Kaiser AM, Jiang JK, Lake JP, et al. The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol. 2005 Apr;100(4):910-7.[Abstract]
9. Imaeda H, Hibi T. The burden of diverticular disease and its complications: west versus east. Inflamm Intest Dis. 2018 Dec;3(2):61-8.[Abstract][Full Text]
10. Lin OS, Soon MS, Wu SS, et al. Dietary habits and right-sided colonic diverticulosis. Dis Colon Rectum. 2000 Oct;43(10):1412-8.[Abstract]
11. Peery AF, Keku TO, Galanko JA, et al. Sex and race disparities in diverticulosis prevalence. Clin Gastroenterol Hepatol. 2020 Aug;18(9):1980-6.[Abstract][Full Text]
12. Jacqueline D, Lince K, DeMario VK, et al. Diverticulitis in the under-40 population. Cureus. 2024 Mar;16(3):e56190.[Abstract][Full Text]
13. Ray-Offor E, Egboh SM, Ijah RFOA, et al. Colonic diverticulosis at colonoscopy in Africa: a systematic review and meta-analysis of pooled estimates. Dig Surg. 2024;41(2):63-78.[Abstract]
14. Wijarnpreecha K, Ahuja W, Chesdachai S, et al. Obesity and the risk of colonic diverticulosis: a meta-analysis. Dis Colon Rectum. 2018 Apr;61(4):476-83.[Abstract]
15. Aune D, Sen A, Leitzmann MF, et al. Body mass index and physical activity and the risk of diverticular disease: a systematic review and meta-analysis of prospective studies. Eur J Nutr. 2017 Dec;56(8):2423-38.[Abstract][Full Text]
16. Aune D, Sen A, Leitzmann MF, et al. Tobacco smoking and the risk of diverticular disease: a systematic review and meta-analysis of prospective studies. Colorectal Dis. 2017 Jul;19(7):621-33.[Abstract]
17. Wijarnpreecha K, Boonpheng B, Thongprayoon C, et al. Smoking and risk of colonic diverticulosis: a meta-analysis. J Postgrad Med. 2018 Jan-Mar;64(1):35-9.[Abstract][Full Text]
18. Larsson SC, Burgess S. Appraising the causal role of smoking in multiple diseases: a systematic review and meta-analysis of Mendelian randomization studies. EBioMedicine. 2022 Aug;82:104154.[Abstract][Full Text]
19. Shaikh A, Khrais A, Le A, et al. Pre-existing opioid use worsens outcomes in patients with diverticulitis. Cureus. 2023 Feb;15(2):e34624.[Abstract][Full Text]
20. Strate LL, Morris AM. Epidemiology, pathophysiology, and treatment of diverticulitis. Gastroenterology. 2019 Apr;156(5):1282-98.e1.[Abstract][Full Text]
21. Bode MK, Karttunen TJ, Makela J, et al. Type I and III collagens in human colon cancer and diverticulosis. Scand J Gastroenterol. 2000 Jul;35(7):747-52.[Abstract]
22. Bassotti G, Battaglia E, Spinozzi E, et al. Twenty-four hour recordings of colonic motility in patients with diverticular disease: evidence for abnormal motility and propulasive activity. Dis Colon Rectum. 2001 Dec;44(12):1814-20.[Abstract]
23. Leganger J, Søborg MK, Mortensen LQ, et al. Association between diverticular disease and Ehlers-Danlos syndrome: a 13-year nationwide population-based cohort study. Int J Colorectal Dis. 2016 Dec;31(12):1863-7.[Abstract]
24. Hauer-Jensen M, Bursac Z, Read RC. Is herniosis the single etiology of Saint's triad? Hernia. 2009 Feb;13(1):29-34.[Abstract]
25. Schieffer KM, Kline BP, Yochum GS, et al. Pathophysiology of diverticular disease. Expert Rev Gastroenterol Hepatol. 2018 Jul;12(7):683-92.[Abstract]
26. Muller-Lissner SA. Effect of wheat bran on weight of stool and gastrointestinal transit time: a meta analysis. Br Med J. 1988 Feb 27;296(6622):615-7.[Abstract]
27. Simpson J, Scholefield JH, Spiller RC. Pathogenesis of colonic diverticula. Br J Surg 2002 May;89(5):546-54.[Abstract]
28. Tjiang E, Raja M, Hoyle C, et al. The role of nitric oxide in colonic compliance in diverticular disease. Gut. 1998 Jan;42 (suppl 1):A95.
29. Humphrey HN, Sibley P, Walker ET, et al. Genetic, epigenetic and environmental factors in diverticular disease: systematic review. BJS Open. 2024 May 8;8(3):zrae032.[Abstract][Full Text]
30. Matrana MR, Margolin DA. Epidemiology and pathophysiology of diverticular disease. Clin Colon Rectal Surg. 2009 Aug;22(3):141-6.[Abstract][Full Text]
31. Wess L, Eastwood MA, Wess TJ, et al. Cross linking of collagen is increased in colonic diverticulosis. Gut. 1995 Jul;37(1):91-4.[Abstract]
32. Aune D, Sen A, Norat T, et al. Dietary fibre intake and the risk of diverticular disease: a systematic review and meta-analysis of prospective studies. Eur J Nutr. 2020 Mar;59(2):421-32.[Abstract][Full Text]
33. Dobbins C, Defontgalland D, Duthie G, et al. The relationship of obesity to the complications of diverticular disease. Colorectal Dis. 2006 Jan;8(1):37-40.[Abstract]
34. Strate LL, Liu YL, Aldoori WH, et al. Obesity increases the risks of diverticulitis and diverticular bleeding. Gastroenterology. 2009 Jan;136(1):115-22.[Abstract][Full Text]
35. Sengupta N, Feuerstein JD, Jairath V, et al. Management of patients with acute lower gastrointestinal bleeding: an updated ACG guideline. Am J Gastroenterol. 2023 Feb 1;118(2):208-31.[Abstract][Full Text]
36. Goh H, Bourne R. Non-steroidal anti-inflammatory drugs and perforated diverticular disease: a case-control study. Ann R Coll Surg Engl. 2002 Mar;84(2):93-6.[Abstract][Full Text]
37. Stollman N, Smalley W, Hirano I; AGA Institute Clinical Guidelines Committee. American Gastroenterological Association Institute guideline on the management of acute diverticulitis. Gastroenterology. 2015 Dec;149(7):1944-9.[Abstract][Full Text]
38. Sugihara Y, Kudo SE, Miyachi H, et al. Analysis of risk factors for colonic diverticular bleeding: a matched case-control study. Gut Liver. 2016 Mar;10(2):244-9.[Abstract][Full Text]
39. Yuhara H, Corley DA, Nakahara F, et al. Aspirin and non-aspirin NSAIDs increase risk of colonic diverticular bleeding: a systematic review and meta-analysis. J Gastroenterol. 2014 Jun;49(6):992-1000.[Abstract]
40. Song JH, Kim YS, Lee JH, et al. Clinical characteristics of colonic diverticulosis in Korea: a prospective study. Korean J Intern Med. 2010 Jun;25(2):140-6.[Abstract][Full Text]
41. Ma W, Nguyen LH, Song M, et al. Intake of dietary fiber, fruits, and vegetables and risk of diverticulitis. Am J Gastroenterol. 2019 Sep;114(9):1531-8.[Abstract][Full Text]
42. Marlett JA, McBurney MI, Slavin JL; American Dietetic Association. Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc. 2002 Jul;102(7):993-1000.[Abstract]
43. Peery AF, Shaukat A, Strate LL. AGA clinical practice update on medical management of colonic diverticulitis: expert review. Gastroenterology. 2021 Feb;160(3):906-11.e1.[Abstract][Full Text]
44. American College of Radiology. ACR appropriateness criteria: left lower quadrant pain. 2023 [internet publication].[Full Text]
45. Qaseem A, Etxeandia-Ikobaltzeta I, Lin JS, et al; Clinical Guidelines Committee of the American College of Physicians. Diagnosis and management of acute left-sided colonic diverticulitis: a clinical guideline from the American College of Physicians. Ann Intern Med. 2022 Mar;175(3):399-415.[Abstract][Full Text]
46. Bonomo RA, Chow AW, Edwards MS, et al. 2024 clinical practice guideline update by the Infectious Diseases Society of America on complicated intra-abdominal infections: risk assessment, diagnostic imaging, and microbiological evaluation in adults, children, and pregnant people. Clin Infect Dis. 2024 Oct 4;79(supplement_3):S81-7.[Abstract][Full Text]
47. Bonomo RA, Tamma PD, Abrahamian FM, et al. 2024 clinical practice guideline update by the Infectious Diseases Society of America on complicated intra-abdominal infections: diagnostic imaging of suspected acute diverticulitis in adults and pregnant people. Clin Infect Dis. 2024 Oct 4;79(supplement_3):S109-12.[Abstract][Full Text]
48. Shin JH, Son BH, Kim H. Clinically distinguishing between appendicitis and right-sided colonic diverticulitis at initial presentation. Yonsei Med J. 2007 Jun 30;48(3):511-6.[Abstract][Full Text]
49. Humes DJ. Diagnosing and managing acute diverticulitis. Practitioner. 2012 Jul-Aug;256(1753):21-3, 2-3.[Abstract]
50. Sharara AI, Ziade N, Shayto RH, et al. The natural history of incidental colonic diverticulosis on screening colonoscopy. Can J Gastroenterol Hepatol. 2018 Dec 6;2018:3690202.[Abstract][Full Text]
51. Salzman H, Lillie D. Diverticular disease: diagnosis and treatment. Am Fam Physician. 2005 Oct 1;72(7):1229-34.[Abstract][Full Text]
52. Jerjen F, Zaidi T, Chan S, et al. Magnetic resonance imaging for the diagnosis and management of acute colonic diverticulitis: a review of current and future use. J Med Radiat Sci. 2021 Sep;68(3):310-9.[Abstract][Full Text]
53. Jensen DM, Machicado GA, Jutabha R, et al. Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med. 2000 Jan 13;342(2):78-82.[Abstract][Full Text]
54. Loftus EV Jr. Clinical epidemiology of inflammatory bowel disease: incidence, prevalence, and environmental influences. Gastroenterology. 2004 May;126(6):1504-17.[Abstract]
55. Kirsner JB. Historical origins of current IBD concepts. World J Gastroenterol. 2001 Apr;7(2):175-84.[Abstract]
56. Shepherd NA. Diverticular disease and chronic idiopathic inflammatory bowel disease: associations and masquerades. Gut. 1996 Jun;38(6):801-2.[Abstract]
57. Schmulson MJ, Drossman DA. What is new in Rome IV. J Neurogastroenterol Motil. 2017 Apr 30;23(2):151-63.[Abstract][Full Text]
58. Hartge P, Hayes R, Reding D, et al. Complex ovarian cysts in postmenopausal women are not associated with ovarian cancer risk factors: preliminary data from the prostate, lung, colon, and ovarian cancer screening trial. Am J Obstet Gynecol. 2000 Nov;183(5):1232-7.[Abstract]
59. Qaseem A, Etxeandia-Ikobaltzeta I, Lin JS, et al; Clinical Guidelines Committee of the American College of Physicians. Colonoscopy for diagnostic evaluation and interventions to prevent recurrence after acute left-sided colonic diverticulitis: a clinical guideline from the American College of Physicians. Ann Intern Med. 2022 Mar;175(3):416-31.[Abstract][Full Text]
60. Eberhardt F, Crichton M, Dahl C, et al. Role of dietary fibre in older adults with asymptomatic (AS) or symptomatic uncomplicated diverticular disease (SUDD): systematic review and meta-analysis. Maturitas. 2019 Dec;130:57-67.[Abstract]
61. Ünlü C, Daniels L, Vrouenraets BC, et al. A systematic review of high-fibre dietary therapy in diverticular disease. Int J Colorectal Dis. 2012 Apr;27(4):419-27.[Abstract][Full Text]
62. van Dijk ST, Chabok A, Dijkgraaf MG, et al. Observational versus antibiotic treatment for uncomplicated diverticulitis: an individual-patient data meta-analysis. Br J Surg. 2020 Jul;107(8):1062-9.[Abstract][Full Text]
63. Biondo S, Golda T, Kreisler E, et al. Outpatient versus hospitalization management for uncomplicated diverticulitis: a prospective, multicenter randomized clinical trial (DIVER trial). Ann Surg. 2014 Jan;259(1):38-44.[Abstract]
64. Sánchez-Velázquez P, Grande L, Pera M. Outpatient treatment of uncomplicated diverticulitis: a systematic review. Eur J Gastroenterol Hepatol. 2016 Jun;28(6):622-7.[Abstract]
65. Agency for Healthcare Research and Quality (AHRQ). Comparative effectiveness review no. 233: management of colonic diverticulitis. Rockville (MD): Agency for Healthcare Research and Quality (US); 2020.[Full Text]
66. van Dijk ST, Bos K, de Boer MGJ, et al. A systematic review and meta-analysis of outpatient treatment for acute diverticulitis. Int J Colorectal Dis. 2018 May;33(5):505-12.[Abstract][Full Text]
67. Alonso S, Pera M, Parés D, et al. Outpatient treatment of patients with uncomplicated acute diverticulitis. Colorectal Dis. 2010 Oct;12(10 online):e278-82.[Abstract]
68. Byrnes MC, Mazuski JE. Antimicrobial therapy for acute colonic diverticulitis. Surg Infect (Larchmt). 2009 Apr;10(2):143-54.[Abstract]
69. Mege D, Yeo H. Meta-analyses of current strategies to treat uncomplicated diverticulitis. Dis Colon Rectum. 2019 Mar;62(3):371-8.[Abstract]
70. Desai M, Fathallah J, Nutalapati V, et al. Antibiotics versus no antibiotics for acute uncomplicated diverticulitis: a systematic review and meta-analysis. Dis Colon Rectum. 2019 Aug;62(8):1005-12.[Abstract]
71. Emile SH, Elfeki H, Sakr A, et al. Management of acute uncomplicated diverticulitis without antibiotics: a systematic review, meta-analysis, and meta-regression of predictors of treatment failure. Tech Coloproctol. 2018 Jul;22(7):499-509.[Abstract]
72. Balk EM, Adam GP, Bhuma MR, et al. Diagnostic imaging and medical management of acute left-sided colonic diverticulitis: a systematic review. Ann Intern Med. 2022 Mar;175(3):379-87.[Abstract][Full Text]
73. Araya-Quezada C, Torres-Bavestrello L, Gómez-Barbieri G, et al. Antibiotics for acute uncomplicated diverticulitis in hospitalized patients [in Spanish]. Medwave. 2021 Mar 26;21(2):e8140.[Abstract]
74. Garfinkle R, Salama E, Amar-Zifkin A, et al. Observational versus antibiotic therapy for acute uncomplicated diverticulitis: a non-inferiority meta-analysis based on a Delphi consensus. Surgery. 2022 Feb;171(2):328-35.[Abstract]
75. Dichman ML, Rosenstock SJ, Shabanzadeh DM. Antibiotics for uncomplicated diverticulitis. Cochrane Database Syst Rev. 2022 Jun 22;(6):CD009092.[Abstract][Full Text]
76. Rusu A, Munteanu AC, Arbănași EM, et al. Overview of side-effects of antibacterial fluoroquinolones: new drugs versus old drugs, a step forward in the safety profile? Pharmaceutics. 2023 Mar 1;15(3):804.[Abstract][Full Text]
77. Fugazzola P, Ceresoli M, Coccolini F, et al. The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly. World J Emerg Surg. 2022 Jan 21;17(1):5.[Abstract][Full Text]
78. Gregersen R, Mortensen LQ, Burcharth J, et al. Treatment of patients with acute colonic diverticulitis complicated by abscess formation: a systematic review. Int J Surg. 2016 Nov;35:201-8.[Abstract]
79. Toorenvliet BR, Swank H, Schoones JW, et al. Laparoscopic peritoneal lavage for perforated colonic diverticulitis: a systematic review. Colorectal Dis. 2010 Sep;12(9):862-7.[Abstract]
80. Angenete E, Bock D, Rosenberg J, et al. Laparoscopic lavage is superior to colon resection for perforated purulent diverticulitis - a meta-analysis. Int J Colorectal Dis. 2017 Feb;32(2):163-9.[Abstract][Full Text]
81. Gehrman J, Angenete E, Björholt I, et al. Health economic analysis of laparoscopic lavage versus Hartmann's procedure for diverticulitis in the randomized DILALA trial. Br J Surg. 2016 Oct;103(11):1539-47.[Abstract][Full Text]
82. Schultz JK, Wallon C, Blecic L, et al. One-year results of the SCANDIV randomized clinical trial of laparoscopic lavage versus primary resection for acute perforated diverticulitis. Br J Surg. 2017 Sep;104(10):1382-92.[Abstract]
83. Shaikh FM, Stewart PM, Walsh SR, et al. Laparoscopic peritoneal lavage or surgical resection for acute perforated sigmoid diverticulitis: a systematic review and meta-analysis. Int J Surg. 2017 Feb;38:130-7.[Abstract]
84. Galbraith N, Carter JV, Netz U, et al. Laparoscopic lavage in the management of perforated diverticulitis: a contemporary meta-analysis. J Gastrointest Surg. 2017 Sep;21(9):1491-9.[Abstract]
85. Abbas S. Resection and primary anastomosis in acute complicated diverticulitis, a systematic review of the literature. Int J Colorectal Dis. 2007 Apr;22(4):351-7.[Abstract]
86. Bezerra RP, Costa ACD, Santa-Cruz F, et al. Hartmann procedure or resection with primary anastomosis for treatment of perforated diverticulitis? Systematic review and meta-analysis. Arq Bras Cir Dig. 2021;33(3):e1546.[Abstract][Full Text]
87. Horesh N, Emile SH, Khan SM, et al. Meta-analysis of randomized clinical trials on long-term outcomes of surgical treatment of perforated diverticulitis. Ann Surg. 2023 Nov 1;278(5):e966-72.[Abstract]
88. Lambrichts DP, Edomskis PP, van der Bogt RD, et al. Sigmoid resection with primary anastomosis versus the Hartmann's procedure for perforated diverticulitis with purulent or fecal peritonitis: a systematic review and meta-analysis. Int J Colorectal Dis. 2020 Aug;35(8):1371-86.[Abstract][Full Text]
89. Ryan OK, Ryan ÉJ, Creavin B, et al. Systematic review and meta-analysis comparing primary resection and anastomosis versus Hartmann's procedure for the management of acute perforated diverticulitis with generalised peritonitis. Tech Coloproctol. 2020 Jun;24(6):527-43.[Abstract]
90. Janes S, Meagher A, Faragher IG, et al. The place of elective surgery following acute diverticulitis in young patients: when is surgery indicated? An analysis of the literature. Dis Colon Rectum. 2009 May;52(5):1008-16.[Abstract]
91. Yeow M, Syn N, Chong CS. Elective surgical versus conservative management of complicated diverticulitis: a systematic review and meta-analysis. J Dig Dis. 2022 Feb;23(2):91-8.[Abstract]
92. Longchamp G, Abbassi Z, Meyer J, et al. Surgical resection does not avoid the risk of diverticulitis recurrence - a systematic review of risk factors. Int J Colorectal Dis. 2021 Feb;36(2):227-37.[Abstract][Full Text]
93. Siddiqui MR, Sajid MS, Qureshi S, et al. Elective laparoscopic sigmoid resection for diverticular disease has fewer complications than conventional surgery: a meta-analysis. Am J Surg. 2010 Jul;200(1):144-61.[Abstract]
94. Cirocchi RF, Farinella E, Trastulli S, et al. Elective sigmoid colectomy for diverticular disease. Laparoscopic vs open surgery: a systematic review. Colorectal Dis. 2012 Jun;14(6):671-83.[Abstract]
95. Andeweg CS, Berg R, Staal JB, et al. Patient-reported outcomes after conservative or surgical management of recurrent and chronic complaints of diverticulitis: systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2016 Feb;14(2):183-90.[Abstract]
96. Basany EE, Solís-Peña A, Pellino G, et al. Preoperative oral antibiotics and surgical-site infections in colon surgery (ORALEV): a multicentre, single-blind, pragmatic, randomised controlled trial. Lancet Gastroenterol Hepatol. 2020 Aug;5(8):729-38.[Abstract]
97. Francis NK, Sylla P, Abou-Khalil M, et al. EAES and SAGES 2018 consensus conference on acute diverticulitis management: evidence-based recommendations for clinical practice. Surg Endosc. 2019 Sep;33(9):2726-41.[Abstract][Full Text]
98. Schultz JK, Azhar N, Binda GA, et al. European Society of Coloproctology: guidelines for the management of diverticular disease of the colon. Colorectal Dis. 2020 Sep;22(2 suppl):5-28.[Abstract][Full Text]
99. Hupfeld L, Burcharth J, Pommergaard HC, et al. Risk factors for recurrence after acute colonic diverticulitis: a systematic review. Int J Colorectal Dis. 2017 May;32(5):611-22.[Abstract]
100. Kang G, Son S, Shin YM, et al. Recurrence of uncomplicated diverticulitis: a meta-analysis. Medicina (Kaunas). 2022 Jun 2;58(6):758.[Abstract][Full Text]
101. Balk EM, Adam GP, Cao W, et al. Evaluation and management after acute left-sided colonic diverticulitis : a systematic review. Ann Intern Med. 2022 Mar;175(3):388-98.[Abstract][Full Text]
102. Woods RJ, Lavery IC, Fazio VW, et al. Internal fistulas in diverticular disease. Dis Clon Rectum. 1988 Aug;31(8):591-6.[Abstract]
103. McBeath RB, Schiff M Jr, Allen V, et al. A 12-year experience with enterovesical fistulas. Urology. 1994 Nov;44(5):661-5.[Abstract]
104. Tamim WZ, Ghellai A, Counihan TC, et al. Experience with endoluminal colonic wall stents for the management of large bowel obstruction for benign and malignant disease. Arch Surg. 2000 Apr;135(4):434-8.[Abstract]
105. Koo CH, Chang JHE, Syn NL, et al. Systematic review and meta-analysis on colorectal cancer findings on colonic evaluation after CT-confirmed acute diverticulitis. Dis Colon Rectum. 2020 May;63(5):701-9.[Abstract]
106. Mortensen LQ, Buciek J, Andresen K, et al. Diverticulitis does not increase the long-term risk of developing colon cancer: a systematic review and meta-analysis. Int J Colorectal Dis. 2022 Sep;37(9):1945-52.[Abstract]
107. Longo S, Altobelli E, Castellini C, et al. Non-steroidal anti-inflammatory drugs and acetylsalicylic acid increase the risk of complications of diverticular disease: a meta-analysis of case-control and cohort studies. Int J Colorectal Dis. 2022 Mar;37(3):521-9.[Abstract]
108. Aldoori WH, Giovannucci EL, Rimm EB, et al. Prospective study of physical activity and risk of symptomatic diverticular disease in men. Gut. 1995 Feb;36(2):276-82.[Abstract]
