Curbside Consultation in IBD: 49 Clinical Questions, Second Edition

David T Rubin, MD; Sonia Friedman, MD; Francis A Farraye, MD MSc

Question 32: My Patient Recently Had A Sigmoid Colon Resection For Diverticulitis. The Pathology Report Read “Chronic Colitis.” Is Diverticular-Associated Colitis A Subset Of Inflammatory Bowel Disease, And Does My Patient Need Any Medical Therapy To Prevent Recurrence Of Colitis? (continued)

Matthew J. Hamilton, MD; Sonia Friedman, MD

Diverticular-associated colitis is an interesting clinical scenario that is occasionally encountered by the practicing gastroenterologist. The incidence of diverticular disease is very high in Western societies, with a prevalence estimated to approach 50% to 60% after the age of 50. The majority of patients are asymptomatic, whereas far fewer have bleeding and diverticulitis. An associated clinical entity that is increasingly recognized is segmental colitis-associated diverticular disease (SCAD).1 The patient in this clinical question may indeed have SCAD; therefore, we will…