Gastroenterology Book

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DiverticulosisAka: Diverticular Disease, Diverticuli, Diverticula, Colonic Diverticuli

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  1. See Also
    1. Diverticulitis
  2. Epidemiology
    1. Rare in non-developed countries
    2. Prevalence
      1. Overall seen in 27% of patients
      2. Present in more than half of patients by age 80 years
  3. Pathophysiology
    1. Colonic muscle wall weak where vessels penetrate
    2. Usually multiple diverticuli present
    3. Size: Usually <10 mm
    4. Distribution
      1. Most commonly found in sigmoid
      2. Right diverticuli seen in age <60 and asian patients
    5. Protective factors
      1. Vegetarian diet
      2. High fiber diet
  4. Symptoms
    1. Asymptomatic in 85% of patients
    2. Colicky Abdominal Pain without inflammation in 15%
      1. Relieved with Bowel Movement or flatus
      2. Worse with eating
      3. Associated with bloating and Constipation
      4. Left lower abdominal tenderness to palpation
    3. Diverticulitis develops in 5% of patients
  5. Differential Diagnosis
    1. Irritable Bowel Syndrome
    2. Colon Cancer
    3. Inflammatory Bowel Disease
    4. Incarcerated Hernia
    5. Mesenteric Ischemia
  6. Diagnosis: Symptomatic diverticular disease
    1. Colonoscopy is test of choice
      1. Rules out Colon Cancer
      2. Contraindicated in active Diverticulitis
  7. Management
    1. High fiber diet
    2. Avoid high residue foods (seeds, nuts, corn)
      1. Recommended theoretically to prevent lodging in tics
      2. No evidence to support this
    3. Antispasmodic agents have no evidence to support use
  8. Complications
    1. Diverticulitis
    2. Diverticular Hemorrhage
      1. Most common cause of Lower GI Bleed
  9. References
    1. Salzman (2005) Am Fam Physician 72:1229
    2. Stollman (1999) Am J Gastroenterol 94:3110

Diverticulosis (C1510475)

Definition (NCI)A condition marked by small sacs or pouches (diverticula) in the walls of an organ such as the stomach or colon. These sacs can become inflamed and cause a condition called diverticulitis, which may be a risk factor for certain types of cancer.
ConceptsDisease or Syndrome (T047) , Anatomical Abnormality (T190)
ICD9562
MSHD004240
BasqueHESTEETAKO ERITASUNA DIBERTIKULARRA
DanishDivertikelsygdom/divertikulit
DutchDiverticulose/diverticulitis
EnglishDD - Diverticular disease, Diverticula of intestine, Diverticular disease, Diverticular Disorder, Diverticular disorder of intestine, Diverticulosis, Diverticulosis unspecified, Diverticulum of intestine, ENTERIC DIVERTICULUM
FinnishDIVERTIKULOOSI
FrenchMaladie diverticulaire intest
GermanDivertikulose/Divertikulitis
Hebrewmaxalot divertikulariot shel hamei
Hungariandiverticulum-betegseg
ItalianMalattia diverticolare
NorwegianDIVERTIKKEL-SYKDOM I TARMEN
PortugueseDoenca diverticular
Spanishdiverticulo del intestino, diverticulo intestinal, diverticulosis, diverticulosis no especificada, Enf diverticulares del intestino, enfermedad diverticular, trastorno diverticular de intestino
SwedishDIVERTIKELSJUKDOM
Parent ConceptsDiverticulosis and diverticulitis (C0810029), Other diseases of the intestines and peritoneum (C0178284), Gastrointestinal system (C0012240), Diagnosis/Diseases Component (C0497531), Other Finding (C1335151), Gastrointestinal Diseases (C0017178), Intestinal Diseases (C0021831), Duplicate concept (C1274013), Diverticulosis (C1510475), Ambiguous concept (C1274012)
SourcesCCS, COSTAR, DXP, ICD9CM, ICPC, ICPCBAQ, ICPCDAN, ICPCDUT, ICPCFIN, ICPCFRE, ICPCGER, ICPCHEB, ICPCHUN, ICPCITA, ICPCNOR, ICPCPOR, ICPCSPA, ICPCSWE, LCH, MSH, MTH, NCI, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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