Review
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 7, 2021; 27(9): 760-781
Published online Mar 7, 2021. doi: 10.3748/wjg.v27.i9.760
Update on the management of sigmoid diverticulitis
Mark H Hanna, Andreas M Kaiser
Mark H Hanna, Andreas M Kaiser, Division of Colorectal Surgery, Department of Surgery, City of Hope National Medical Center, Duarte, CA 91010-3000, United States
Author contributions: Hanna MH and Kaiser AM analyzed the literature and wrote the manuscript.
Conflict-of-interest statement: Kaiser AM has received fees for serving as a speaker from Intuitive Surgical Inc, and author royalties from McGraw-Hill Publisher. Hanna MH has no disclosures.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Andreas M Kaiser, MD, FACS, FASCRS, Chief Physician, Full Professor, Division of Colorectal Surgery, Department of Surgery, City of Hope National Medical Center, 1500 E Duarte Road Suite MALP-2230, Duarte, CA 91010-3000, United States. akaiser@coh.org
Received: November 22, 2020
Peer-review started: November 22, 2020
First decision: December 17, 2020
Revised: January 11, 2021
Accepted: February 1, 2021
Article in press: February 1, 2021
Published online: March 7, 2021
Processing time: 100 Days and 14.1 Hours
Core Tip

Core Tip: Diverticular disease and diverticulitis–specifically sigmoid diverticulitis-represent the most common non-cancerous pathology of the colon. It has traditionally been considered a disease of the elderly and associated with cultural and dietary habits. There is a constant evolution in our understanding and the treatment guidelines. This review provides an update of the epidemiology, pathogenesis, and classification, and it highlights changes in the medical and surgical management of diverticulitis.