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Invited Critique
March 21, 2011

Diverticulitis: Something New Under the Sun?Comment on “Cyclical Increase in Diverticulitis During the Summer Months”

Author Affiliations

Author Affiliation: Department of Surgery, Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis.

Arch Surg. 2011;146(3):324. doi:10.1001/archsurg.2011.26

In the past few years, our understanding of diverticulitis has been turned on its head. Causative factors? Say goodbye to the “no seeds and pits” diet.1 Need for surgery? The simple rule of “2 attacks, then operate” is gone.2,3 Free perforation? Instead of colostomy, do a laparoscopic lavage.4 And while the incidence of acute diverticulitis in the young is increasing,5 the need for aggressive surgical management in this age group is now open to question.6

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