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PubMed1974

High bulk diet for diverticular disease of the colon.

In the past century diverticular disease of the colon has changed from being almost unknown to becoming the most common disease of the colon. Studies in Britain indicated that the pathological basis of the disease is a thickening of the colonic musculature, with diverticulosis and diverticulitis developing because of increased intracolonic pressures generated by the thickened colon wall. This pressure can be sharply reduced by increased colonic bulk. Geographical and anthropological data reveal that diverticular disease results from Western civilization's food habits, specifically the reduced fiber content in food. There is evidence that increasing the dietary intake of fiber by the addition of bran can prevent formation of diverticula and relieve the symptoms of established disease. Large scale studies are recommended both as treatment and to further test the validity of this concept.

Animals↗
PubMed1974

Transverse taeniamyotomy. A new surgical approach for diverticular disease.

The rationale of transverse taeniamyotomy in the treatment of diverticular disease of the colon, with or without inflammatory or other complications, is discussed. The technique of the operation is described, multiple transverse incisions being made at 2-cm intervals through the two thickened antimesenteric taeniae coli throughout the affected length of bowel. The indications and results in 18 patients are tabulated and discussed. Transverse taeniamyotomy is a simple procedure, rapidly performed, with minimal morbidity, and is well tolerated even by elderly, poor-risk patients. The results so far have been promising.

Age Factors↗