Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases

Eric Esrailian, MD, MPH

Chapter 31: Diverticular Disease (continued)

Amy Lightner, MD; James Yoo, MD, FACS, FASCRS

Although diverticulosis is extremely common, relatively few susceptible patients will actually develop symptoms. The majority of patients have asymptomatic diverticula found incidentally on imaging studies or endoscopy. Those who have symptoms typically present with either colonic bleeding secondary to diverticulosis or with diverticulitis. Diverticular disease may involve any part of the gastrointestinal (GI) tract, although the sigmoid colon is the most commonly affected segment. Colonic diverticula are false diverticula because only the mucosa and submucosa penetrate through the…