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Changing paradigms in the management of complicated diverticulitis

Schultz, Johannes Kurt ; Nikberg, Maziar ; Chabok, Abbas ; Thorisson, Arnar ; Sigurdardottir, Johanna ; Buchwald, Pamela LU ; Sallinen, Ville and Azhar, Najia LU orcid (2025) In Scandinavian Journal of Surgery p.1-9
Abstract

Complicated colonic diverticulitis remains a frequent cause of hospital admissions in Western countries, associated with significant morbidity and health care utilization. Complications include abscess formation, perforation, sepsis, fistulas, and colonic stenosis, which may be present at initial presentation or develop during the disease course. Approximately 10%-20% of hospitalized diverticulitis cases are classified as complicated. Over recent decades, the management of this condition has undergone a paradigm shift-from routine surgical intervention to more individualized, evidence-based strategies emphasizing conservative treatment where appropriate. This review provides a comprehensive, clinically oriented summary of current... (More)

Complicated colonic diverticulitis remains a frequent cause of hospital admissions in Western countries, associated with significant morbidity and health care utilization. Complications include abscess formation, perforation, sepsis, fistulas, and colonic stenosis, which may be present at initial presentation or develop during the disease course. Approximately 10%-20% of hospitalized diverticulitis cases are classified as complicated. Over recent decades, the management of this condition has undergone a paradigm shift-from routine surgical intervention to more individualized, evidence-based strategies emphasizing conservative treatment where appropriate. This review provides a comprehensive, clinically oriented summary of current diagnostic approaches, including the role of cross-sectional imaging, as well as non-operative and operative treatment options. It also outlines recommendations for follow-up, including indications for colonoscopy, and discusses ongoing controversies and future directions in the management of complicated diverticulitis.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Scandinavian Journal of Surgery
pages
1 - 9
publisher
Finnish Surgical Society
external identifiers
  • scopus:105007608911
  • pmid:40476371
ISSN
1799-7267
DOI
10.1177/14574969251343452
language
English
LU publication?
yes
id
13ea3215-505b-4ebc-8fd2-265981c4c0f5
date added to LUP
2025-06-25 16:19:02
date last changed
2025-07-10 04:46:19
@article{13ea3215-505b-4ebc-8fd2-265981c4c0f5,
  abstract     = {{<p>Complicated colonic diverticulitis remains a frequent cause of hospital admissions in Western countries, associated with significant morbidity and health care utilization. Complications include abscess formation, perforation, sepsis, fistulas, and colonic stenosis, which may be present at initial presentation or develop during the disease course. Approximately 10%-20% of hospitalized diverticulitis cases are classified as complicated. Over recent decades, the management of this condition has undergone a paradigm shift-from routine surgical intervention to more individualized, evidence-based strategies emphasizing conservative treatment where appropriate. This review provides a comprehensive, clinically oriented summary of current diagnostic approaches, including the role of cross-sectional imaging, as well as non-operative and operative treatment options. It also outlines recommendations for follow-up, including indications for colonoscopy, and discusses ongoing controversies and future directions in the management of complicated diverticulitis.</p>}},
  author       = {{Schultz, Johannes Kurt and Nikberg, Maziar and Chabok, Abbas and Thorisson, Arnar and Sigurdardottir, Johanna and Buchwald, Pamela and Sallinen, Ville and Azhar, Najia}},
  issn         = {{1799-7267}},
  language     = {{eng}},
  month        = {{06}},
  pages        = {{1--9}},
  publisher    = {{Finnish Surgical Society}},
  series       = {{Scandinavian Journal of Surgery}},
  title        = {{Changing paradigms in the management of complicated diverticulitis}},
  url          = {{http://dx.doi.org/10.1177/14574969251343452}},
  doi          = {{10.1177/14574969251343452}},
  year         = {{2025}},
}