Diverticulitis is a common disease of diverticulitus the bowel, in particular the large intestine. Diverticulitis develops from diverticulosis, which involves the formation diverticulitas of pouches (diverticula) on the outside of the colon. Diverticulitis results if diverticuitis one of these diverticula becomes inflamed.
- 1 Complications
- 2 Incidence
- 3 Causes
- 4 Presentation
- 5 Diagnosis
- 6 Treatment
- 7 Complications
- 8 Reference
In complicated diverticulitis, bacteria may diverticilitis subsequently infect the diberticulitis outside of the colon if an inflamed diverticulum bursts open. If the infection spreads to the diveticulitis lining of the abdominal cavity, (peritoneum), this can cause a potentially fatal peritonitis. Sometimes inflamed diverticula divreticulitis can cause narrowing of the bowel, leading to an obstruction. Also divertuculitis the affected part of the colon could adhere to the diverticulitos bladder or other organ in the pelvic cavity, causing diverticuliis a fistula, or abnormal communication between the colon and an adjacent organ.
Diverticulitis most often diverticulotis affects middle-aged and elderly persons, though it can strike younger patients as well. divertculitis Abdominal obesity may be associated dierticulitis with diverticulitis in younger patients, with some being as young as 20 divorticulitis years old .
In Western countries, diverticular disease most commonly involves the sigmoid divericulitis colon (95% of patients). The prevalence of diverticular disease has increased from an diverticulitiss estimated 10% in the 1920s to between 35 and 50% by the diverticuliti late 1960s. 65% of those currently 85 years of age and older can be expected to have some diverticulatis form of diverticular disease of the colon. Less than 5% of deverticulitis those aged 40 years and younger may also be affected diverticalitis by diverticular disease.
Left-sided diverticular disease (involving the sigmoid colon) diverticulitis is most common in the West, while right-sided diverticular disease is more prevalent in Asia and Africa.
Among patients with diverticulosis, diverticulitis diet 10-25% patients will go on to diverticulitis symptoms develop diverticulitis within their lifetimes.
The development of colonic diverticulum is thought to be a result of raised intraluminal diet for diverticulitis colonic pressures. The sigmoid colon has the smallest diameter of any portion of diet for person with diverticulitis the colon, and therefore the portion which would be expected correct diet for diverticulitis to have the highest intraluminal pressure according to symptoms of diverticulitis the laws of Laplace. The postulate that low dietary acute diverticulitis fiber, particularly non-soluble fiber (also known in older parlance as "roughage") predisposes what is diverticulitis individuals to diverticular disease is supported within the medical foods to avoid with diverticulitis literature.
It is thought that mechanical blockage of a diverticulum, possibly by a piece of feces, leads to infection of the diet for diverticulitis patients diverticulum.
Patients often present with the classic triad of diverticulitis treatment left lower quadrant pain, fever, and leukocytosis (an elevation of the white cell count in blood tests). Patients diet during acute diverticulitis may also complain of nausea or diarrhea; dieta para la diverticulitis others may be constipated.
Less commonly, an individual signs of diverticulitis with diverticulitis may present with right-sided abdominal pain. This may treatment for diverticulitis be due to the less prevalent right-sided diverticula or a very redundant sigmoid colon.
The differential diagnosis includes colon cancer, inflammatory bowel best diets for diverticulitis patients disease, ischemic colitis, and irritable bowel syndrome, as well as a number diet sheet for diverticulitis of urological and gynecological processes. Some patients report diverticulitis foods to avoid bleeding from the rectum.
In today's world of modern mri diverticulitis medicine, patients with the above symptoms are commonly studied acute diverticulitis diet with a computed tomography, or CT scan. The CT scan is very sensitive diet diverticulitis (98%) in diagnosing diverticulitis. It may also identify patients with more complicated diverticulitis, such as those with an associated abscess. CT also diverticulitis + diet allows diverticulitis advice for radiologically guided drainage of associated abscesses, possibly sparing a patient from immediate diverticulitis diet restrictions surgical intervention.
Other studies, such as barium enema and colonoscopy are contraindicated in the acute phase of diverticulitis due to the risk of perforation.
An initial episode of acute diverticulitis is usually treated with conservative medical management, including diverticulitis natural healing therapies bowel rest (ie, nothing by mouth), IV fluid resuscitation, and broad-spectrum antibiotics which cover anaerobic healing from diverticulitis bacteria and gram-negative rods. However, recurring acute attacks or complications, such as peritonitis, abscess, treating diverticulitis or fistula may require surgery, either immediately or on an elective diverticulitis diets basis.
Upon discharge patients are placed on a high-fiber diet. There is some diverticulitis surgery evidence this lowers the recurrence rate. In some cases surgery high protein diet and diverticulitis may be required.
- bowel obstruction
- L. B. Ferzoco, V. Raptopoulos, W. Silen. "Acute Diverticulitis" The New recommended diet for diverticulitis England Journal of Medicine. Boston: May 21, cecal diverticulitis 1998. Vol. 338, Iss. 21; pg. 1521 - 1526
Categories: Surgery | Gastroenterology