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Sigmoid Diverticulitis


Presentation

  • Chi-Keung 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]
  • 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]
  • 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]
Painter
  • Dis Colon Rectum. 1992; 5 :1077–84. doi: 10.1007/BF02252999. [ PubMed ] [ CrossRef ] [ Google Scholar ] Painter NS, Truelove SC, Ardran GM, Tuckey M.[ncbi.nlm.nih.gov]
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]
  • 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]
  • 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]
  • 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]
Chronic 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]
Chronic Abscess
  • A persisting chronic abscess between the sigmoid loop and the bladder does not represent a contraindication to this minimally invasive approach.[websurg.com]

Treatment

  • 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]
  • 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]
  • 8 ) Rather, you’ll complete other testing such as a blood and urine test to rule out problems with your kidneys or liver, and your doctor may perform an MRI or CT scan of the abdominal area to check for diverticulitis. (8) Depending on the findings, treatment[everydayhealth.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]
  • 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]

Etiology

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

Epidemiology

  • 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]
Sex distribution
Age distribution

Pathophysiology

  • 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]

Prevention

  • 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]

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