Anastomotic Considerations in Diverticulitis

Abstract Diverticulitis is a common indication for colorectal surgery, both in the acute and the elective setting. The anastomosis between the colon and rectum is a critical component of colectomy for diverticular disease and should be approached thoughtfully. This article reviews important surgical...

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Bibliographic Details
Published in:Clinics in colon and rectal surgery 2023-01, Vol.36 (1), p.057-062
Main Authors: McChesney, Shannon L., Hawkins, Alexander T.
Format: Article
Language:English
Subjects:
Review
Review Article
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Summary:Abstract Diverticulitis is a common indication for colorectal surgery, both in the acute and the elective setting. The anastomosis between the colon and rectum is a critical component of colectomy for diverticular disease and should be approached thoughtfully. This article reviews important surgical considerations when creating a colorectal anastomosis in the setting of diverticular disease, whether following the reversal of an end colostomy, during an acute episode of diverticulitis, or electively for chronic or complicated disease. Timing of surgery and preoperative assessment, minimally invasive approaches, and intraoperative maneuvers and considerations are discussed.
ISSN:1531-0043
1530-9681
DOI:10.1055/s-0042-1756511