Download PDF
Clin Colon Rectal Surg 2018; 31(04): 217-220
DOI: 10.1055/s-0037-1607466
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Current Status of the Radiologic Assessment of Diverticular Disease

Pridvi G. Kandagatla
1   Division of Colon and Rectal Surgery, Department of Surgery, Henry Ford Hospital, Detroit, Michigan
,
Amalia J. Stefanou
1   Division of Colon and Rectal Surgery, Department of Surgery, Henry Ford Hospital, Detroit, Michigan
› Author Affiliations
Further Information

Publication History

Publication Date:
22 June 2018 (online)

    Permissions and Reprints

Abstract

Radiologic assessment plays a vital role in the management of diverticulitis. It not only helps in the diagnosis, but also helps to guide the management. As technology has progressed, different modalities have offered insight into the treatment of this disease process. Through various trials and studies, certain modalities stand above the rest in terms of sensitivity and specificity. Computed tomography (CT) imaging has also proved to help us guide the management through a grading system. Newer studies show us the advantages of other modalities such as ultrasound and magnetic resonance imaging (MRI). Though there is much research yet to be done with these modalities, they do show a lot of potential.

Keywords

computed tomography - acute diverticulitis - imaging - management
 

  • References

  • 1 McKee RF, Deignan RW, Krukowski ZH. Radiological investigation in acute diverticulitis. Br J Surg 1993; 80 (05) 560-565
    CrossrefPubMedGoogle Scholar
  • 2 Johnson CD, Baker ME, Rice RP, Silverman P, Thompson WM. Diagnosis of acute colonic diverticulitis: comparison of barium enema and CT. AJR Am J Roentgenol 1987; 148 (03) 541-546
    CrossrefPubMedGoogle Scholar
  • 3 Destigter KK, Keating DP. Imaging update: acute colonic diverticulitis. Clin Colon Rectal Surg 2009; 22 (03) 147-155
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Ambrosetti P, Becker C, Terrier F. Colonic diverticulitis: impact of imaging on surgical management – a prospective study of 542 patients. Eur Radiol 2002; 12 (05) 1145-1149
    CrossrefPubMedGoogle Scholar
  • 5 Werner A, Diehl SJ, Farag-Soliman M, Düber C. Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients. Eur Radiol 2003; 13 (12) 2596-2603
    CrossrefPubMedGoogle Scholar
  • 6 Rao PM, Rhea JT, Novelline RA. , et al. Helical CT with only colonic contrast material for diagnosing diverticulitis: prospective evaluation of 150 patients. AJR Am J Roentgenol 1998; 170 (06) 1445-1449
    CrossrefPubMedGoogle Scholar
  • 7 Kircher MF, Rhea JT, Kihiczak D, Novelline RA. Frequency, sensitivity, and specificity of individual signs of diverticulitis on thin-section helical CT with colonic contrast material: experience with 312 cases. AJR Am J Roentgenol 2002; 178 (06) 1313-1318
    CrossrefPubMedGoogle Scholar
  • 8 Barat M, Dohan A, Pautrat K. , et al. Acute colonic diverticulitis: an update on clinical classification and management with MDCT correlation. Abdom Radiol (NY) 2016; 41 (09) 1842-1850
    CrossrefPubMedGoogle Scholar
  • 9 Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg 1978; 12: 85-109
    PubMedGoogle Scholar
  • 10 Wasvary H, Turfah F, Kadro O, Beauregard W. Same hospitalization resection for acute diverticulitis. Am Surg 1999; 65 (07) 632-635 , discussion 636
    CrossrefPubMedGoogle Scholar
  • 11 Lohrmann C, Ghanem N, Pache G, Makowiec F, Kotter E, Langer M. CT in acute perforated sigmoid diverticulitis. Eur J Radiol 2005; 56 (01) 78-83
    CrossrefPubMedGoogle Scholar
  • 12 Hall JF, Roberts PL, Ricciardi R. , et al. Long-term follow-up after an initial episode of diverticulitis: what are the predictors of recurrence?. Dis Colon Rectum 2011; 54 (03) 283-288
    CrossrefPubMedGoogle Scholar
  • 13 Hollerweger A, Macheiner P, Rettenbacher T, Brunner W, Gritzmann N. Colonic diverticulitis: diagnostic value and appearance of inflamed diverticula-sonographic evaluation. Eur Radiol 2001; 11 (10) 1956-1963
    CrossrefPubMedGoogle Scholar
  • 14 Ripollés T, Agramunt M, Martínez MJ, Costa S, Gómez-Abril SA, Richart J. The role of ultrasound in the diagnosis, management and evolutive prognosis of acute left-sided colonic diverticulitis: a review of 208 patients. Eur Radiol 2003; 13 (12) 2587-2595
    CrossrefPubMedGoogle Scholar
  • 15 Laméris W, van Randen A, Bipat S, Bossuyt PMM, Boermeester MA, Stoker J. Graded compression ultrasonography and computed tomography in acute colonic diverticulitis: meta-analysis of test accuracy. Eur Radiol 2008; 18 (11) 2498-2511
    CrossrefPubMedGoogle Scholar
  • 16 Heverhagen JT, Sitter H, Zielke A, Klose KJ. Prospective evaluation of the value of magnetic resonance imaging in suspected acute sigmoid diverticulitis. Dis Colon Rectum 2008; 51 (12) 1810-1815
    CrossrefPubMedGoogle Scholar
  • 17 Mettler Jr FA, Huda W, Yoshizumi TT, Mahesh M. Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology 2008; 248 (01) 254-263
    CrossrefPubMedGoogle Scholar
  • 18 American College of Radiology. ACR Appropriateness Criteria – Left Lower Quadrant Pain. Available at: https://acsearch.acr.org/docs/69356/Narrative/ . Accessed March 30, 2017
    PubMedGoogle Scholar
  • 19 Vennix S, Morton DG, Hahnloser D, Lange JF, Bemelman WA. ; Research Committee of the European Society of Coloproctocology. Systematic review of evidence and consensus on diverticulitis: an analysis of national and international guidelines. Colorectal Dis 2014; 16 (11) 866-878
    CrossrefPubMedGoogle Scholar
  • 20 Feingold D, Steele SR, Lee S. , et al. Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum 2014; 57 (03) 284-294
    CrossrefPubMedGoogle Scholar