Diverticular Disease Flashcards
1
Q
what is it
A
out-pouching of bowel epithelium lining, usually due to high intraluminal pressure caused by low fibre
usually affects sigmoid colon
2
Q
what is prevalence
A
50% occurs in patients >50
3
Q
what is diverticulitis
A
inflamed diverticulum / diverticula
4
Q
what is symptoms
A
left sided abdominal pain nausea altered bowel habit sepsis PR bleed
5
Q
how is it diagnosed
A
gastrografin enema
barium enema
sigmoidoscopy / colonoscopy
CT scan
6
Q
what is treatment of diverticulitis
A
uncomplicated - oral antibiotics
percutaneous drainage (abscess?) + antibiotics
hartmann’s procedure - remove sigmoid colon and attach colostomy bag to descending colon
7
Q
which antibiotics
A
metrondiazole
co-trimoxazole
8
Q
what are complications
A
fistulae stricture pericolic absess perforation obstruction haemorrhage
