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Experienced clinicians have encountered patients with recurrent episodes of acute diverticulitis or symptoms that linger after treatment of acute attacks. Such patients might suffer from one of several forms of chronic diverticular disease, the recognition and management of which are evolving.
In the current clinical review, the authors describe diverticular disease as a chronic illness, including two of its several subtypes: symptomatic, uncomplicated diverticular disease (SUDD), characterized by persistent abdominal symptoms attributed to diverticulosis without macroscopically overt colitis or diverticulitis, and the more obvious segmental colitis associated with diverticulosis (SCAD), characterized by mucosal changes consistent with infla…