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Origin of symptoms in diverticular disease. BJS 2003; 90: 899-908.

Published: 1st August 2003

Authors: J. Simpson, J. H. Scholefield, R. C. Spiller


A significant number of patients with colonic diverticula experience unexplained, recurrent, short‐lived but often debilitating abdominal pain and alteration in bowel habit. Such patients account for many medical consultations every year but, as our understanding of the cause of their symptoms remains imperfect, treatment options are limited. This article reviews the possible mechanisms that may be responsible for the symptoms of diverticular disease.


Medline and Science Citation Index searches were performed to locate English language articles relating to colonic diverticula and symptoms published between January 1966 and July 2002. Manual cross‐referencing was also performed and some historical articles were included.

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