Abstract
The modern management of colonic diverticular disease involves grouping patients into
uncomplicated or complicated diverticulitis, after which the correct treatment paradigm
is instituted. Recent controversies suggest overlap in management strategies between
these two groups. While most reports still support surgical intervention for the treatment
of complicated diverticular disease, more data are forthcoming suggesting complicated
diverticulitis does not merit surgical resection in all scenarios. Given the significant
risk for complication in surgery for diverticulitis, careful attention should be paid
to patient and procedure selection. Here, we define complicated diverticulitis, discuss
options for surgical intervention, and explain strategies for avoiding operative pitfalls
that result in early and late postoperative complications.
Keywords
diverticulitis - complicated - fistula - colovesical fistula - abscess
