General

How common is diverticular disease? What are the complications?

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19 Jul 2016 - General
 

Diverticular disease may be due to the factors like age-related, lack of fiber in the diet, increased luminal pressure, small stool volume, long intestinal transit time, hypersegmentation. Low fiber in diet in the colonic lumen can leads to decrease stool volume and increasing segmentation during peristalsis. Diverticular disease is known to increased with age, from around 5% by 40 years old, to around 65% by the age of 85. Most of the patient with diverticular disease will remain asymptomatic (around 70%). Around 15-25% will develop diverticulitis, and around 5% to 15% will develop bleeding from the diverticular. Diverticulitis can lead to a few complications like abscess formation, fistula, stricture, and peritonitis from perforation. Anyone has some insight with regards to the management of diverticular disease and diverticulitis??

Diverticulitis should not be a difficult diagnosis to make. Any left lower abdominal pain should be considered a potential case of diverticulitis. This may be accompanied by tenderness, guarding, fever and leucocytosis. Next will be to get a computed tomography abdomen and pelvis and blood culture. Patient will have to be put nil by mouth , Intravenous drip and IV antibiotics. IV antibiotic choice generally consist of a 3rd generation cephalosporin with Intravenous metronidazole. After patient r...
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