Rodkey and Welch used clinical criteria to determine if a patient with diverticular disease should be considered for surgery and possible colonic resection.
Indications for surgery:
(1) recurrent attacks of local inflammation
(2) persistent, tender mass
(3) narrowing or marked deformity of the colon on imaging studies
(4) dysuria associated with diverticular disease
(5) rapid progression of symptoms from the time of onset
(6) age < 50 years (relative youth)
(7) imaging studies equivocal for excluding carcinoma
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Specialty: Gastroenterology, Surgery, general