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Invited Critique
March 21, 2011

Appendicitis Equals Diverticulitis: A Challenge to Traditional Dogma: Comment on “Epidemiological Similarities Between Appendicitis and Diverticulitis Suggesting a Common Underlying Pathogenesis”

Author Affiliations

Author Affiliations: Department of Surgery, University of California at Los Angeles, David Geffen School of Medicine, Los Angeles, California.

Arch Surg. 2011;146(3):315. doi:10.1001/archsurg.2011.1

The pathogenesis and treatment of appendicitis and diverticulitis are well established in the field of surgery. It has been taught that nonperforating disease may evolve into perforating disease and that in the case of appendicitis, early surgical intervention may prevent the complications that result from perforation. In the accompanying article, Livingston et al hypothesize that acute nonperforating appendicitis and acute nonperforating diverticulitis are different manifestations of the same disease occurring in childhood and adulthood, respectively, and that both should be treated conservatively.

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