[Right-sided colonic diverticular disease: quo vadis?]

Rev Med Suisse. 2014 Jun 18;10(435):1325-30.
[Article in French]


Symptomatic diverticular disease of the right colon is a rare entity in our latitudes, where it represents only 1.5% of all diverticulitis. In contrary, this disease is endemic in Asian countries. Besides, it has several differences with its left counterpart. Indeed, a right-sided diverticular disease is more often symptomatic, while the risk of complicated episodes seems lower. Right-sided diverticular disease usually manifests as right iliac fossa pain or low gastrointestinal bleeding. First described on 1912, there are no clear guidelines. The approach is usually conservative in Asia; when surgery cannot be avoided, a limited resection is performed. In Western countries, a surgical approach is more often considered. We reviewed the current literature and propose a way to manage right diverticulitis.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Abdominal Pain / etiology*
  • Asia / epidemiology
  • Diverticulitis, Colonic / diagnosis
  • Diverticulitis, Colonic / physiopathology
  • Diverticulitis, Colonic / therapy*
  • Gastrointestinal Hemorrhage / etiology*
  • Humans
  • Practice Guidelines as Topic