Clin Colon Rectal Surg 2018; 31(04): 226-228
DOI: 10.1055/s-0037-1607468
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Diverticular Disease in the Setting of Other Colorectal Pathology: Data on Simultaneous Issues in Segmental Colitis, Inflammatory Bowel Disease, Cancer, and Complications

Nasrin Ghalyaie
1   Department of Surgical Oncology, Banner MD Anderson Cancer Center, Gilbert, Arizona
› Author Affiliations
Further Information

Publication History

Publication Date:
22 June 2018 (online)

Abstract

Diverticulosis of the colon is a very common anatomical condition. In the Western world, it affects more than 70% of over 65 years old population and represents the fifth most important gastrointestinal disease in terms of health care costs in Western countries. The diagnosis of diverticular disease and diverticulitis can be challenging. Often, there is overlap with other colonic pathologies, such as segmental colitis, ischemia, inflammatory bowel disease, cancer, or infectious colitis. Management of diverticular disease in these settings might be different.

 
  • References

  • 1 Tursi A. Segmental colitis associated with diverticulosis: complication of diverticular disease or autonomous entity. Digest Dis Sci 2011; 56: 27-34
  • 2 Lamps LW, Knapple WL. Diverticular disease-associated segmental colitis. Clin Gastroenterol Hepatol 2007; 5 (01) 27-31
  • 3 Tursi A, Inchingolo CD, Nenna R. , et al. Pattern of mucosal tumor necrosis factor-alpha expression in segmental colitis associated with diverticula suggests a truly autonomous clinical entity. Inflamm Bowel Dis 2008; 14 (09) 1315-1317
  • 4 Tursi A, Inchingolo CD, Picchio M, Elisei W, Mangiola F, Gasbarrini G. Histopathology of segmental colitis associated with diverticulosis resembles inflammatory bowel diseases. J Clin Gastroenterol 2015; 49 (04) 350-351
  • 5 Hassan C, Zullo A, Ierardi E, Burattini O, De Francesco V, Morini S. Tumour necrosis factor alpha downregulation and therapeutic response to infliximab in a case of segmental colitis associated with diverticula. Gut 2006; 55 (04) 589-590
  • 6 Tursi A, Elisei W, Brandimarte G. , et al. The endoscopic spectrum of segmental colitis associated with diverticulosis. Colorectal Dis 2010; 12 (05) 464-470
  • 7 Koutroubakis IE, Antoniou P, Tzardi M, Kouroumalis EA. The spectrum of segmental colitis associated with diverticulosis. Int J Colorectal Dis 2005; 20 (01) 28-32
  • 8 Goldstein NS, Leon-Armin C, Mani A. Crohn's colitis-like changes in sigmoid diverticulitis specimens is usually an idiosyncratic inflammatory response to the diverticulosis rather than Crohn's colitis. Am J Surg Pathol 2000; 24 (05) 668-675
  • 9 Tursi A, Brandimarte G, Elisei W. , et al. Assessment and grading of mucosal inflammation in colonic diverticular disease. J Clin Gastroenterol 2008; 42 (06) 699-703
  • 10 Wang YR, Talley NJ, Picco MF. Overlap: irritable bowel syndrome, inflammatory bowel disease, and diverticular disease. J Clin Gastroenterol 2011; 45 (Suppl. 01) S36-S42
  • 11 Freeman HJ. Relevance of segmental colitis with diverticulosis (SCAD) to other forms of inflammatory bowel disease. Can J Gastroenterol 2009; 23 (06) 439-440
  • 12 Cassieri C, Pica R, Avallone E. , et al. Prevalence of colonic diverticulosis in patients affected by ulcerative colitis: a prospective study. J Clin Gastroenterol 50 (Suppl. 01) S33-S35
  • 13 Tursi A, Elisei W, Picchio M. Incidence and prevalence of inflammatory bowel diseases in gastroenterology primary care setting. Eur J Intern Med 2013; 24 (08) 852-856
  • 14 Tursi A, Elisei W, Giorgetti GM, Aiello F, Brandimarte G. Inflammatory manifestations at colonoscopy in patients with colonic diverticular disease. Aliment Pharmacol Ther 2011; 33 (03) 358-365
  • 15 Meyers MA, Alonso DR, Morson BC, Bartram C. Pathogenesis of diverticulitis complicating granulomatous colitis. Gastroenterology 1978; 74 (01) 24-31
  • 16 Sultan K, Fields S, Panagopoulos G, Korelitz BI. The nature of inflammatory bowel disease in patients with coexistent colonic diverticulosis. J Clin Gastroenterol 2006; 40 (04) 317-321
  • 17 Tursi A, Elisei W, Picchio M. , et al. Letter: diverticulosis in inflammatory bowel diseases. Aliment Pharmacol Ther 2014; 39 (08) 899-900
  • 18 Peppercorn MA. The overlap of inflammatory bowel disease and diverticular disease. J Clin Gastroenterol 2004; 38 (05) (Suppl. 01) S8-S10
  • 19 Picco MF, Cangemi JR. Inflammatory bowel disease in the elderly. Gastroenterol Clin North Am 2009; 38 (03) 447-462
  • 20 Regula J. Diverticular disease and colorectal cancer: incidental diagnosis or real association?. J Clin Gastroenterol 2016; 50 (Suppl. 01) S39-S40
  • 21 Morini S, Zullo A, Hassan C, Tomao S, Campo SMA. Diverticulosis and colorectal cancer: between lights and shadows. J Clin Gastroenterol 2008; 42 (07) 763-770
  • 22 Granlund J, Svensson T, Granath F. , et al. Diverticular disease and the risk of colon cancer - a population-based case-control study. Aliment Pharmacol Ther 2011; 34 (06) 675-681
  • 23 Huang W-Y, Lin C-C, Jen Y-M. , et al. Association between colonic diverticular disease and colorectal cancer: a nationwide population-based study. Clin Gastroenterol Hepatol 2014; 12 (08) 1288-1294
  • 24 Cooper GS, Xu F, Schluchter MD, Koroukian SM, Barnholtz Sloan JS. Diverticulosis and the risk of interval colorectal cancer. Dig Dis Sci 2014; 59 (11) 2765-2772
  • 25 Tsiamoulos ZP, Peake STC, Nickerson C, Rutter MD, Saunders BP. Does diverticular disease protect against sigmoid colon cancer?. Colorectal Dis 2014; 16 (01) 70-71
  • 26 Ben Yaacoub I, Boulay-Coletta I, Jullès MC, Zins M. CT findings of misleading features of colonic diverticulitis. Insights Imaging 2011; 2 (01) 69-84
  • 27 Oh KH, Han KH, Kim EJ. , et al. Colon cancer after acute diverticulitis treatment. Ann Coloproctol 2013; 29 (04) 167-171