The prevalence of diverticular disease in all of its forms has risen among industrialized countries, accounting for 96 of every 100 000 hospital admissions2 in the US in 2008. This represents a considerable source of resource use, with each admission associated with a median length of stay of 4 days and a median treatment cost of $6333.3 While its prevalence continues to rise, there has been a concomitant shift toward a greater proportion of patients with diverticulitis being treated on an outpatient basis, with an associated decline in emergency surgeries and a greater use of minimally invasive approaches in elective settings.4 Past controversies include whether patients should undergo surgery on the basis of young age or a prior paracolic abscess, as well as the role of urgent surgeries that avoid resection, such as laparoscopic lavage.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Stewart DB. Review of the American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis. JAMA Surg. 2021;156(1):94–95. doi:10.1001/jamasurg.2020.5019
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: