Do not request surveillance colonoscopy for asymptomatic colonic diverticular disease without changes in symptoms.
The term merely identifies presence of diverticula in the colon, characterized by a favorable course and, generally, absence of symptoms. Colonoscopy is not indicated in patients with asymptomatic colonic diverticulosis and in patients with symptomatic uncomplicated diverticular disease. Colonoscopy is usually advisable after the first episode of AD in all patients (to exclude neoplasia); in the management of diverticular acute hemorrhage; to rule out other pathologies such as segmental colitis associated to diverticula.
Sources
1. Tursi A, Scarpignato C, Strate LL, et al. Colonic diverticular disease. Nat Rev Dis Primers 2020;26:20 Strate LL, Gralnek IM. Management of Patients with Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol 2016;111:459-74.
2. Schultz JK, Azhar N, Binda GA, et al. European Society of Coloproctology: guidelines for the management of diverticular disease of the colon. Colorectal Dis 2020;22:5-28.
3. Tursi A, Papa V, Lopetuso LR, et al. When to Perform a Colonoscopy in Diverticular Disease and Why: A Personalized Approach. J Pers Med. 2022 1;12:1713.
4. Rex DK, Anderson JC, Butterly LF, et al. Quality Indicators for Colonoscopy. Am J Gastroenterol 2024;119:1754-80.
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PDFAttention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.
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