However, considering the wide spectrum of diverticular disease, also depending on the age of patients (clinical presentation may differ significantly in older patients where a reduction in symptom severity causing a misdiagnosis could be present), and [ncbi.nlm.nih.gov]

Cheng}, journal={The European respiratory journal}, year={1995}, volume={8 12}, pages={ 2188-90 } } Tai-sung Hur, Yijiang Chen, +2 authors Kelvin Chi-Keung Cheng Published in The European respiratory journal 1995 DOI: 10.1183/09031936.95.0812188 We present [semanticscholar.org]

The likelihood of complications is unrelated to the number of diverticula present. [surgwiki.com]

Diverticulosis is often present without any symptoms. [badgut.org]

[…] approximately 13,000 deaths. [2] It is the most frequent anatomic disease of the colon. [2] Costs associated with diverticular disease were around US$ 2.4 billion a year in the United States in 2013. [2] Signs and symptoms [ edit ] Diverticulitis typically presents [en.wikipedia.org]

• Inflammation

  The surgeon makes an opening in the abdominal wall (a colostomy) which helps clear the infection and inflammation. [en.wikipedia.org]

  Abstract Acute diverticulitis (AD) results from inflammation of a colonic diverticulum. [ncbi.nlm.nih.gov]

  Blood tests may reveal the degree of inflammation present and a number of other tests can help pinpoint a diagnosis. X-rays can be helpful to observe the shape and function of the colon. [badgut.org]

  “Generally speaking, inflammation from diverticulitis can cause scar tissue formation and breakdown of the colon wall, and if the colon wall develops a hole, then an abscess will form,” warns Will Bulsiewicz, MD, a gastroenterologist and gut health expert [everydayhealth.com]

  A CT scan may be most useful because it defines the extent and degree of pericolic inflammation and may detect air in the bladder that is associated with a colovesical fistula. [surgwiki.com]

• Collapse

  The drainage catheter is kept patent by regular irrigation with normal saline and kept in place until drainage ceases and the abscess cavity is completely collapsed. [surgwiki.com]

• Abdominal Pain

  Patient-reported outcomes studies show 20% to 35% of patients managed nonoperatively progress to chronic abdominal pain compared with 5% to 25% of patients treated operatively. [jamanetwork.com]

  pain of sudden onset, but onset may also occur over a few days. [1] In North America and Europe the abdominal pain is usually on the left lower side (sigmoid colon), while in Asia it is usually on the right (ascending colon). [2] [4] There may also be [en.wikipedia.org]

  A comparison of the accuracy of ultrasound and computed tomography in common diagnoses causing acute abdominal pain. [ncbi.nlm.nih.gov]

  “Obstruction of the sigmoid colon by mass or cancer can lead to difficulty having bowel movements despite laxatives, and if severe enough, can also result in abdominal pain, nausea, and vomiting.” [everydayhealth.com]

  Rightsided diverticulitis with right-sided abdominal pain occurs almost exclusively in the Asian population but whether this is due to genetic or dietary factors remains undetermined. [surgwiki.com]

• Constipation

  The sigmoid colon is part of the lower large intestine and can become strained during constipation, potentially increasing the risk of diverticulitis. [everydayhealth.com]

  One theory is that diverticula occur when pressure, such as that caused by straining during constipation, builds up inside the colon and makes the intestinal wall balloon out in spots where the wall is weak. [badgut.org]

  Alteration of bowel habit, with constipation or diarrhoea, may occur. If the inflammatory process involves the bladder, urinary symptoms may be present. [surgwiki.com]

  Specialty General surgery Symptoms Abdominal pain, fever, nausea, diarrhea, constipation, blood in the stool [1] Complications Abscess, fistula, bowel perforation [1] Usual onset Sudden, age > 50 [1] Causes Uncertain [1] Risk factors Obesity, lack of [en.wikipedia.org]

• Diarrhea

  Many symptoms are similar to those of irritable bowel syndrome (IBS), and often include changing bowel activities such as constipation or diarrhea, or alternating between the two extreme stool consistencies. [badgut.org]

  Specialty General surgery Symptoms Abdominal pain, fever, nausea, diarrhea, constipation, blood in the stool [1] Complications Abscess, fistula, bowel perforation [1] Usual onset Sudden, age > 50 [1] Causes Uncertain [1] Risk factors Obesity, lack of [en.wikipedia.org]

• Abdominal Mass

  Clinical features Acute diverticulitis is associated with a constant and protracted pain in the left iliac fossa, with systemic symptoms and fever, leucocytosis and sometimes an abdominal mass. [surgwiki.com]

• Abdominal Distension

  In more severe cases, abdominal distension is also present, either secondary to ileus or to partial colonic obstruction. Rectal examination may reveal tenderness in the pelvis and a mass or pelvic collection may be felt. [surgwiki.com]

• Irritability

  Mediastinal emphysema should alert the physician to the possibility of retroperitoneal gastrointestinal perforation, even in patients without signs of distinct peritoneal irritation. [semanticscholar.org]

  In addition, the bowel tends to become irritable and spastic when there is inadequate bulk passing through and it must contract more intensely to pass contents along. [badgut.org]

  Several studies examined histologic commonalities with inflammatory bowel disease and irritable bowel syndrome but were focused on associative rather than causal pathways. The natural history of uncomplicated diverticulitis is often benign. [jamanetwork.com]

  > 50 [1] Causes Uncertain [1] Risk factors Obesity, lack of exercise, smoking, family history, nonsteroidal anti-inflammatory drugs [1] [2] Diagnostic method Blood tests, CT scan, colonoscopy, lower gastrointestinal series [1] Differential diagnosis Irritable [en.wikipedia.org]

Recent changes in understanding its natural history have substantially modified treatment paradigms. Objective To review the etiology and natural history of diverticulitis and recent changes in treatment guidelines. [jamanetwork.com]

"Probiotics in the Treatment of Diverticular Disease. A Systematic Review". Journal of Gastrointestinal and Liver Diseases. 25 (1): 79–86. doi : 10.15403/jgld.2014.1121.251.srw. [en.wikipedia.org]

This modification also implied the use of new treatment strategies such as CT-guided percutaneous drainage of abscesses (Table 2 ) [ 28 - 30 ]. [ncbi.nlm.nih.gov]

Hartmann's procedure has evolved as the treatment of choice for patients with purulent or faecal peritonitis. It is no longer the treatment of first choice in patients with an abscess, which should be treated primarily by percutaneous drainage. [surgwiki.com]

Objective To review the etiology and natural history of diverticulitis and recent changes in treatment guidelines. [jamanetwork.com]

Epidemiology [ edit ] Diverticulitis most often affects the elderly. In Western countries, diverticular disease most commonly involves the sigmoid colon (95 percent of patients). [en.wikipedia.org]

The pathophysiology of diverticulitis is associated with altered gut motility, increased luminal pressure, and a disordered colonic microenvironment. [jamanetwork.com]

Sleisenger & Fordtran's Gastrointestinal and liver disease pathophysiology, diagnosis, management (9th ed.). [S.l.]: MD Consult. p. 2084. ISBN 9781437727678. [en.wikipedia.org]

Diverticulitis The Best and Worst Foods for Managing or Preventing Diverticulitis Eating a diet high in fiber can help prevent diverticulitis. But it’s important to avoid fiber if you have the condition. [everydayhealth.com]

Several different medications have been studied in hopes of preventing recurrent diverticulitis in patients who have had one or more attacks. [gi.org]

[…] measures include altering risk factors such as obesity, inactivity, and smoking. [2] Mesalazine and rifaximin appear useful for preventing attacks in those with diverticulosis. [2] Avoiding nuts and seeds as a preventive measure is no longer recommended [en.wikipedia.org]

By also drinking adequate fluids, and staying physically active, you might be able to prevent further diverticula from forming and avoid unpleasant flare-ups. [badgut.org]

While the use of bran and bulking agents are helpful in controlling the symptoms of pain, there is no evidence that once the diverticula are formed dietary management will prevent the complications of diverticular disease. [surgwiki.com]