Obstruction is associated not only with diverticular disease but also with colorectal cancer where the tumour obstructs the bowel. Usually the obstruction in diverticulitis is caused by a stricture; not all obstructions need surgical intervention and unless there is a clear clinical need the patient should be treated medically to allow the obstruction to resolve. This can be achieved by resting the bowel, intravenous fluids and nasogastric suction on either continuous drainage or regular aspirations. Histology becomes paramount in any surgical procedure for obstruction to determine the actual cause (Wong and Wexner, 2000).
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