Influence of sigmoid resection on progression of diverticular disease of the colon

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Abstract
The histories were reviewed of 61 patients who had elective sigmoid resection for diverticular disease and who had barium-enema examinations before operation, early during the postoperative period, and at least 5 yr later. Progression of diverticulosis was noted in only 9 (14.7%) patients on repeat barium-enema examination 5 to 9 yr after resection; the progression was noted to be minimal in all 9. Seven patients (11.4%) had signs and symptoms of recurrent diverticulitis. Only 3 patients demonstrated progression of diverticulosis and recurrent diverticulitis. No benefit was seen in resecting all of the diverticula-bearing colon after adequate sigmoid resection, as there is minimal progression in the diverticular process and the risk of recurrence is low.

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