Clinical Features: Diverticular Disease is on the Rise
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Abstract
Diverticulosis refers to the presence of diverticula, or herniations of the intestinal mucosa and submucosa, most often in the sigmoid colon. More than one half of patients over age 50 have incidental colonic diverticula. Diverticulitis is the most common complication of diverticulosis, occurring in up to 20% of patients, and results from a microperforation of a diverticulum from inspissated fecal material that often becomes a phlegmon, or a pericolic or intra - abdominal abscess. The presented clinical case is about diverticular disease (Diverticulosis). It generally affects older patients. It is produced by herniation of the mucosa and submucosa through the muscular layer of the colon.
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References
I. Bradshaw E. (2023). Diverticular disease, diverticulitis and the impact on continence. British journal of nursing (Mark Allen Publishing), 32(4), 168–172. https://doi.org/10.12968/bjon.2023.32.4.168
II. Kamal MU, Baiomi A, Balar B. Acute Diverticulitis: A Rare Cause of Abdominal Pain. Gastroenterology Res. 2019 Aug;12(4):203-207. doi: 10.14740/gr1166. Epub 2019 Aug 25. PMID: 31523330; PMCID: PMC6731043.
III. Bodmer, N. A., & Thakrar, K. H. (2015). Evaluating the Patient with Left Lower Quadrant Abdominal Pain. Radiologic clinics of North America, 53(6), 1171–1188. https://doi.org/10.1016/j.rcl.2015.06.005
IV. Linzay CD, Pandit S. Acute Diverticulitis. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK459316/
V. Hawkins AT, Wise PE, Chan T, Lee JT, Glyn T, Wood V, Eglinton T, Frizelle F, Khan A, Hall J, Ilyas MIM, Michailidou M, Nfonsam VN, Cowan ML, Williams J, Steele SR, Alavi K, Ellis CT, Collins D, Winter DC, Zaghiyan K, Gallo G, Carvello M, Spinelli A, Lightner AL. Diverticulitis: An Update From the Age Old Paradigm. Curr Probl Surg. 2020 Oct;57(10):100862. doi: 10.1016/j.cpsurg.2020.100862. Epub 2020 Jul 18. PMID: 33077029; PMCID: PMC7575828.
VI. Sartelli, M., Weber, D.G., Kluger, Y. et al. 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting. World J Emerg Surg 15, 32 (2020). https://doi.org/10.1186/s13017-020-00313-4
VII. Bar-Meir, S., Lahat, A., & Melzer, E. (2012). Role of endoscopy in patients with diverticular disease. Digestive diseases (Basel, Switzerland), 30(1), 60–63. https://doi.org/10.1159/000335921
VIII. Snyder MJ. Imaging of colonic diverticular disease. Clin Colon Rectal Surg. 2004 Aug;17(3):155-62. doi: 10.1055/s-2004-832696. PMID: 20011270; PMCID: PMC2780066.
IX. Schaffzin DM, Wong WD. Nonoperative management of complicated diverticular disease. Clin Colon Rectal Surg. 2004 Aug;17(3):169-76. doi: 10.1055/s-2004-832698. PMID: 20011272; PMCID: PMC2780064.
X. Tochigi T, Kosugi C, Shuto K, Mori M, Hirano A, Koda K. Management of complicated diverticulitis of the colon. Ann Gastroenterol Surg. 2017 Sep 28;2(1):22-27. doi: 10.1002/ags3.12035. PMID: 29863123; PMCID: PMC5868871.
XI. Sartelli, M., Weber, D.G., Kluger, Y. et al. 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting. World J Emerg Surg 15, 32 (2020). https://doi.org/10.1186/s13017-020-00313-4
XII. Hannan E, Harding T, Duggan W, Brosnan C, Maguire D. Routine Endoscopy After Acute Sigmoid Diverticulitis: Would a Sigmoidoscopy be Sufficient? Cureus. 2021 Sep 1;13(9):e17648. doi: 10.7759/cureus.17648. PMID: 34646695; PMCID: PMC8486147.
XIII. Agarwal AK, Karanjawala BE, Maykel JA, Johnson EK, Steele SR. Routine colonic endoscopic evaluation following resolution of acute diverticulitis: is it necessary? World J Gastroenterol. 2014 Sep 21;20(35):12509-16. doi: 10.3748/wjg.v20.i35.12509. PMID: 25253951; PMCID: PMC4168084.
XIV. Carabotti M, Annibale B, Severi C, Lahner E. Role of Fiber in Symptomatic Uncomplicated Diverticular Disease: A Systematic Review. Nutrients. 2017 Feb 20;9(2):161. doi: 10.3390/nu9020161. PMID: 28230737; PMCID: PMC5331592.
XV. Dahl C, Crichton M, Jenkins J, Nucera R, Mahoney S, Marx W, Marshall S. Evidence for Dietary Fibre Modification in the Recovery and Prevention of Reoccurrence of Acute, Uncomplicated Diverticulitis: A Systematic Literature Review. Nutrients. 2018 Jan 27;10(2):137. doi: 10.3390/nu10020137. PMID: 29382074; PMCID: PMC5852713.
XVI. Strate LL, Morris AM. Epidemiology, Pathophysiology, and Treatment of Diverticulitis. Gastroenterology. 2019 Apr;156(5):1282-1298.e1. doi: 10.1053/j.gastro.2018.12.033. Epub 2019 Jan 17. PMID: 30660732; PMCID: PMC6716971.