Feasibility of colonic diverticular inversion

Introduction: Diverticular disease of the sigmoid colon is a frequent finding in Caucasians over 60. Inflammatory or bleeding complications may require left colonic resection, sometimes a challenge in elderly patients. In two patients with acute diverticular bleeding a colonoscopic in vivo inversion of the culprit diverticulum was attempted. In both patients, the bleeding diverticulum was successfully inverted and the bleeding was stopped using a standard ligation device (Speedband, Boston Scientific). We thus thought about the possibility to treat diverticula by means of colonoscopic inversion and band ligation…