Diverticulitis: What are the guidelines?

The indication for surgery in diverticular disease, the intervention and the operative technique have long been discussed. What are the current guidelines? Anyway, the trend is taking into account a series of parameters that vary from subject to subject, from patient to patient, because it is clear that the repetitiveness episodes of acute diverticulitis is already in itself an indication the possible resolution of the surgical problem. While this single episode diverticolitico since there frequently is accompanied by the recurrence could be considered for conservative management only with medical therapy. Thus, the first parameter may be recidivanza of the phenomena diverticolitici repeated. But clearly this is an important indication but it is not an indication of absolute because it can also depend on the clinical condition and age of the subject: in very elderly person in poor clinical condizionoi it is obvious that our attempt will be to maintain a conservative approach and non-surgical respect, however, that the patient can more easily deal with an intervention. With regard, then, the surgical technique I would say that unfortunately is always the resection, that is, the resection of the diseased portion and anastomosis more or less protected a temporary protective colostomy.