Meet the editors

Dr. José Joaquim Ribeiro da Rocha is a Professor of Surgery, Faculty of Medicine, University of São Paulo, Brazil. He is also the director of the Division of Coloproctology of the Department of Surgery and Anatomy of the Faculty of Medicine of Ribeirão Preto, University of São Paulo. Dr. da Rocha has conducted research on diffuse peritonitis, intestinal anastomosis, and transanal endoscopic operations. He is the editor of *Coloproctolo-*

*gy - Principles and Practices*, which is now in its second edition. He earned a master's degree and Ph.D. in Surgery at the Department of Surgery and Anatomy, University of São Paulo. He is also a coloproctology surgeon at Hospital São Paulo.

Dr. Marley Ribeiro Feitosa is a surgeon at the Ribeirão Preto Medical School, University of São Paulo, Brazil, where he earned a Ph.D. in Surgery. He currently carries out teaching and research activities at the same university. He is also in private practice at Proctogastroclínica, São Paulo, Brazil.

Contents

**Section 1**

**Section 2**

**Section 3**

**Section 4**

Management

Therapeutic Difficulties

*and Alex Antonio de Paula Costa*

**Preface XI**

Introduction **1**

**Chapter 1 3**

Colitis and Diverticular Diseases of the Colon **15**

**Chapter 2 17**

Complicated Colonic Diverticular Disease **27**

**Chapter 3 29**

**Chapter 4 49**

Antibiotics in Diverticulitis **65**

**Chapter 5 67**

Introductory Chapter: Diverticule Disease of the Colon—DDC *by José Joaquim Ribeiro da Rocha and Marley Ribeiro Feitosa*

*by Rafael Luís Luporini, Marcel Domeniconi, Ana Carolina Parra, André Rizzo, Daniela Freitas, Sthefânia Frizol and Antonio Tursi*

Complicated Colonic Diverticular Disease – Diagnostic and

*Cosmin Vasile Obleaga and Mihaela-Iustina Mesina Botoran*

Inflammatory Complication of Diverticular Disease

*by Cristian Mesina, Theodor Viorel Dumitrescu, Mihai Calin Ciorbagiu,* 

*by Luciano Dias de Oliveira Reis, Marcos Ricardo da Silva Rodrigues, Celso Augusto Milani Cardoso Filho, Cassiana Franco Dias dos Reis* 

The Use of Antibiotics in Diverticulitis: An Update in Non-operative

*by Mariana Morales-Cruz and Paulina Moctezuma Velázquez*

Segmental Colitis Associated with Diverticulosis

### Contents


#### **Section 5**

Colonoscopy in Diverticulitis **81**

#### **Chapter 6 83**

Colonoscopy after Diverticulitis *by Jeremy Meyer and Frédéric Ris*

Preface

This book reviews and updates information on the diverticular disease of the colon. It covers all relevant aspects of the disease, including anatomy, etiopathogenesis,

The introductory chapter presents the historical evolution, anatomy, and etiopathogenesis of colonic diverticular disease. It also discusses clinical diagnosis, differential diagnosis, and pertinent imaging tests. It highlights the main inflammatory and

Chapter 2 presents concepts, etiopathogenesis, and clinical and epidemiological conditions of segmental colitis associated with diverticular disease, as well as discusses clinical, laboratory, and radiological diagnosis of this condition. It also proposes a classification of segmental colitis and an algorithm for treatment and

Chapters 3 and 4 discuss the complicated diverticular disease, classified according to the severity and taking into account tomographic aspects and surgical findings. These chapters also examine therapeutic approaches and provide extensive photographic

Chapter 5 provides an update on antibiotic therapy in acute diverticulitis. It includes an extensive literary survey with relevant conclusions about when antibiotic therapy

Finally, Chapter 6 discusses colonoscopic investigation after acute diverticulitis and presents interesting conclusions about the need to endoscopically evaluate the colon

I decided to edit this book because of my direct relationship with diverticular disease of the colon throughout my professional life, both in the Faculty of Medicine next to the public hospital where hundreds of patients are assisted and/or operated on, as well as in the private sector where I've practiced as a coloproctologist for more than

I'd like to thank my co-editor, Dr. Marley F. Ribeiro, who is also a practicing surgeon as well as a teacher and lecturer. I am also grateful to IntechOpen for the opportunity to participate in this book project. This volume will guide many people in the

diagnostic and therapeutic management of the diverticular disease.

symptoms, diagnosis, colonoscopy, complications, and treatment.

hemorrhagic complications, their stages, and therapeutic aspects.

clinical follow-up.

documentation.

after diagnosis.

thirty years.

should be indicated in acute diverticulitis.
