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Since 2006, guidelines have departed from the traditional practice of referring patients with recurrent uncomplicated diverticulitis for elective colectomy (NEJM JW Gastroenterol Oct 2006 and Dis Colon Rectum
2006; 49:939). The current recommendation is that the decision to pursue surgery should be individualized. However, the impact of the updated guidelines on incidence of partial colectomy after uncomplicated diverticulitis is unclear.
To compare trends in colectomy before and after 2006, investigators conducted a retrospective cohort study of more than 3 million patients (age, ≥20) in a large national database who were hospitalized for diverticulitis between 2000 and 2016. Of these, nearly 750,000 underwent partial colectomy; 57% of the s…