REVIEW  DIVERTICULAR DISEASE: PITFALLS, CHALLENGES AND SOLUTIONS 

Minerva Gastroenterologica e Dietologica 2017 June;63(2):152-7

DOI: 10.23736/S1121-421X.17.02384-4

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Natural history of bleeding risk in colonic diverticulosis

Lior SEGEV ^{1, 2}, Gokhan OZUNER ¹ ✉

¹ Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH, USA; ² Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Colonic diverticulosis prevalence is gradually increasing worldwide. From 3% to 15% of the patients with diverticulosis will bleed at some point. The risk for rebleeding after the first episode is substantial but varies in the literature between 13-48%. We analyzed risk factors for diverticular bleed and management options for initial and recurrent diverticular bleeding. A review of the literature on this subject is presented.

KEY WORDS: Colonic diverticulosis - Hemorrhage - Recurrence