Gastroenterology Book

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Diverticulosis

Aka: Diverticulosis, Diverticular Disease, Diverticuli, Diverticula, Colonic Diverticuli
  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 72:1229-42
    2. Stollman (1999) Am J Gastroenterol 94:3110-21

Diverticulosis (C1510475)

Definition (MSH) A condition characterized by the presence of multiple diverticuli in the walls of an organ.
Definition (NCI) A finding indicating the presence of multiple pouches, usually in the colonic or gastric wall.
Definition (NCI) A condition marked by small sacs or pouches in the walls of a hollow organ, such as the colon. These sacs can become inflamed and cause a condition called diverticulitis.
Concepts Disease or Syndrome (T047) , Anatomical Abnormality (T190)
MSH D004240
ICD9 562
ICD10 K57, K57.90
SnomedCT 197081001, 155780002, 155781003, 197082008, 155778008, 235772003, 197093005, 197116004, 197094004, 31113003, 397881000, 63532004, 68047000, 271365001
English DIVERTICULAR DISEASE, ENTERIC DIVERTICULUM, DIVERTICULOSIS, Diverticula of intestine, NOS, Diverticula of intestine NOS, Diverticula of the intestine NOS, Diverticular disease intestine, Diverticular disorder of intestine, Diverticulosis NOS, Diverticulosis unspecified, diverticula of intestine (diagnosis), diverticulosis (diagnosis), diverticulosis, diverticula of intestine, Diverticular disease(& [of intestine]) (disorder), Diverticulosis NOS (disorder), Diverticular disorders, Diverticulum intestinal, Diverticulosis unspecified (disorder), Diverticula of the intestine NOS (disorder), Diverticular disease of intestine, Diverticular disease of intestine NOS, intestinal diverticulum, Disease;diverticular;intestine, diverticulum intestinal, Diverticula of intestine, Diverticular disease, DD - Diverticular disease, Diverticula of intestine (disorder), Diverticular disease (disorder), Diverticulum of intestine, Diverticular disease(& [of intestine]), Diverticular disorder of intestine (disorder), Diverticular Disorder, Diverticulosis, diverticular disease
Italian Disturbi diverticolari, Diverticolo dell'intestino, Malattia diverticolare, Diverticolosi, Diverticoli dell'intestino
Dutch diverticulose, divertikelziekte, darmdivertikels, Diverticulose/diverticulitis, darmdivertikel, divertikelaandoeningen, Divertikelziekte, Diverticulosis
French Diverticulite de l'intestin, Maladie diverticulaire, Diverticulose, Maladie diverticulaire intest, Affections diverticulaires, Diverticule intestinal
German Divertikelerkrankung, Divertikel des Darms, Divertikulose, Divertikulose des Darmes, Divertikulose/Divertikulitis, Darmdivertikel, Divertikelerkrankungen
Portuguese Divertículos do intestino, Doença diverticular, Diverticulose, Doenca diverticular, Afecções diverticulares, Divertículo intestinal
Spanish Enfermedad diverticular, Divertículos de intestino, Diverticular disease, Diverticular disorder of intestine, Diverticula of intestine, Diverticular disease(& [of intestine]), Diverticulosis, Enf diverticulares del intestino, Diverticulosis NOS, diverticulosis no especificada (trastorno), diverticulosis no especificada, diverticulosis, SAI (trastorno), diverticulosis, SAI, diverticulosis, divertículo del intestino (trastorno), divertículo del intestino, divertículo intestinal, divertículos intestinales, SAI (trastorno), divertículos intestinales, SAI, enfermedad diverticular (trastorno), enfermedad diverticular, trastorno diverticular de intestino (trastorno), trastorno diverticular de intestino, Trastornos diverticulares, Divertículo intestinal
Japanese 憩室疾患, 腸憩室, 憩室症, 憩室性疾患, ﾁｮｳｹｲｼﾂ, ｹｲｼﾂｾｲｼｯｶﾝ, ｹｲｼﾂｼｮｳ, ｹｲｼﾂｼｯｶﾝ
Swedish DIVERTIKELSJUKDOM
Norwegian DIVERTIKKEL-SYKDOM I TARMEN
Finnish DIVERTIKULOOSI
Danish Divertikelsygdom/divertikulit
Hungarian diverticulum-betegseg, Diverticulosis, Intestinalis diverticulum, Bél diverticulumai, Diverticulum betegségek, Diverticulosisos betegség
Czech Divertikulóza, Divertikl střeva, Divertikly střeva, Divertikulární poruchy, Divertikulární nemoc, divertikulóza
Korean 창자의 곁주머니(게실)병
Basque HESTEETAKO ERITASUNA DIBERTIKULARRA
Hebrew maxalot divertikulariot shel hamei
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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