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Diagnosis and management of right colonic diverticular disease: A review.

Abstract：

:The aim of this narrative review is to define the clinical-pathological characteristics and to clarify the management of right colonic diverticular disease. It is rare in Europe, USA and Australia and more common in Asia. In the recent years its incidence has increased in the West, with various distributions among populations. Many studies have reported that it is difficult to differentiate the presenting symptoms of this disease from those of appendicitis before surgery, because the signs and symptoms are similar, so misdiagnosis is not infrequent. With accurate imaging studies it is possible to reach a precise preoperative diagnosis, in order to assess an accurate treatment strategy. Currently the management of this disease is not well defined, no clear guidelines have been proposed and it is not known whether the guidelines for left colonic diverticular disease can also be applied for it. Several authors have stated that conservative management is the best approach, even in case of recurrence, and surgery should be indicated in selected cases.

journal_name

Cir Esp

journal_title

Cirugia espanola

authors

Ferrara F,Bollo J,Vanni LV,Targarona EM

doi

10.1016/j.ciresp.2016.08.008

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

553-559

issue

10

eissn

0009-739X

issn

1578-147X

pii

S0009-739X(16)30145-2

journal_volume

94

pub_type

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