Segmental Colitis Associated with Diverticula: A 7-Year Follow-Up Study

Department of Gastroenterology, Ospedale Valduce, Como, Italy.
Endoscopy (Impact Factor: 5.05). 07/2006; 38(6):610-2. DOI: 10.1055/s-2006-924985
Source: PubMed


We performed a long-term follow-up study of patients with segmental colitis associated with diverticula, in order to clarify the natural history of this disease.
We identified 15 patients who were diagnosed as having segmental colitis associated with diverticula during 1997. We assessed these patients by means of periodic follow-up visits from 1997 to 2004.
Eight of the 15 patients had no clinical recurrence during follow-up. Five patients had sporadic recurrences that were clinically mild (on average, one in 5 years), which responded to topical therapy and often to self-medication. Only two patients were diagnosed during the follow-up period as having Crohn's disease; notably, these were the only patients who did not have hematochezia as the main symptom at onset.
The course of this disease appears to be substantially benign.

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    • "Prevalence of diverticulitis has been considered overestimated because most of the subjects who visited referral hospitals for colonoscopy had abdominal symptoms and they had the chance to suffer from complicatied diverticulosis. Between 10 and 25% of the patients with symptomatic uncomplicated diverticular disease suffer from diverticulitis (15, 16). "
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