Sigmoid Diverticulitis in Young Patients—A More Aggressive Disease than in Older Patients?

Ritz, Jörg‐Peter; Lehmann, Kai S.; Stroux, Andrea; Buhr, H. J.; Holmer, Christoph

doi:10.1007/s11605-011-1457-2

Cited by 37 publications

(38 citation statements)

References 31 publications

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“…However, whether they are at increased risk of complications or recurrent attacks remains debatable [7,27]. Large patient studies performed in recent years have demonstrated that the risk of recurrence or complications is not higher in younger than in older patients [13,28,29]. Our data suggest that recurrence of diverticulitis seems not be influenced by age.…”

Section: Discussionmentioning

confidence: 59%

Long-term outcome after conservative and surgical treatment of acute sigmoid diverticulitis

Holmer

Lehmann

Engelmann

et al. 2011

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 59%

Long-term outcome after conservative and surgical treatment of acute sigmoid diverticulitis

Holmer

Lehmann

Engelmann

et al. 2011

Langenbecks Arch Surg

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“…Therefore, any increased risk is a chronologic rather than pathologic phenomenon [38]. Acute diverticulitis in the young could be managed as in the older patients [16], the indication for surgery being not dependent on age but on the actual clinical findings [39]. …”

Section: Discussionmentioning

confidence: 99%

Acute Diverticulitis in the Young: The Same Disease in a Different Patient

Pisanu

Vacca

Reccia

et al. 2013

Gastroenterology Research and Practice

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Background. Natural history and risk factors for diverticulitis in young patients are still debatable. This study aimed to assess whether difference exists in patients aged 50 and younger when compared to older patients and to identify risk factors for acute diverticulitis in the young. Patients and Methods. From January 2006 to December 2011, 80 patients were admitted to our department for acute diverticulitis. We carried out a cross-sectional study in 23 patients (28.7%) aged 50 and younger and 57 older patients (71.3%). Results. Acute diverticulitis in the young was not more aggressive than in the older patient. Diverticulitis at patient's admission was similar with respect to Hinchey's stage and prior history of diverticulitis. No significant difference was found for both medical and surgical treatment. The rate of recurrent diverticulitis in nonoperated patients was similar. Male gender, body mass index ≥25, and assumption of alcohol were independent risk factors for the occurrence of an acute diverticulitis in the young. Conclusions. The same disease seems to be affecting young patients such as overweight or obese male individual. Current policies to prevent diverticular disease and its related complications must include obesity control together with high-fiber diet and regular exercise.

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“…Recent studies would suggest that younger age is a risk factor for recurrent disease; however, these patients are just as likely to respond to conservative management. [52][53][54][55] SMOKING There have been a number of studies investigating the relationship between smoking and diverticular disease. The Swedish mammography cohort study investigated 36,000 women of whom 560 had an admission for diverticulitis during the study period.…”

Section: Age and Gendermentioning

confidence: 99%

Modern Concepts in Diverticular Disease

Collins

Winter

2015

Journal of Clinical Gastroenterology

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Over the last decade there has been a striking shift in our understanding of the epidemiology, pathology, and management of diverticular disease. Indeed, many of the guidelines published in the late nineties and early 2000s are now redundant. High-fiber diets, avoidance of nuts and seeds, antibiotic treatment for mild diverticulitis, elective resection after 2 attacks of diverticulitis, Hartmann's procedure (HP), and aggressive management of young patients are all open to question. The more we challenge our understanding of diverticulitis it becomes apparent how little we know about this disease entity. This review aims update the reader on current hypotheses and evidencebased modern management strategies in diverticular disease.

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Sigmoid Diverticulitis in Young Patients—A More Aggressive Disease than in Older Patients?

Abstract: Acute SD in younger patients is not more aggressive and has no higher risk of perforation or need for emergency surgery compared to older patients.

Cited by 37 publications

References 31 publications

Long-term outcome after conservative and surgical treatment of acute sigmoid diverticulitis

Long-term outcome after conservative and surgical treatment of acute sigmoid diverticulitis

Acute Diverticulitis in the Young: The Same Disease in a Different Patient

Modern Concepts in Diverticular Disease

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