DIVERTICULAR DISEASE Flashcards Preview

GASTRO-INTESTINAL MEDICINE AND HEPATOLOGY > DIVERTICULAR DISEASE > Flashcards

Flashcards in DIVERTICULAR DISEASE Deck (11):
1

What is diverticulosis?

Outpocketings of the colonic mucosa and submucosa through weaknesses of muscle layers in the colon wall.

2

Where in the colon are diverticula most commonly found?

Sigmoid

3

What causes diverticula in the colon?

Constipation and increased pressure leads to herniation of mucosa.

4

What are the clinical features of diverticulosis (uncomplicated ie not diverticulitis)?

Often asymptomatic
Colicky left sided discomfort
Bloating
Constipation

5

How might you investigate someone with suspected diverticulae?

Endoscopy
Barium enema

6

How do you treat uncomplicated diverticulosis?

High fibre diet

7

What are the complications of diverticulosis?

Diverticulitis
Diverticular disease (bleeds)
Perforation causing peritonitis

8

What are the features of diverticular disease?

Change in bowel habit
Rectal bleeding
Abdominal pain

9

What is diverticulitis?

Inflammation of colonic diverticula leading to severe pain.

10

What are the clinical features of diverticulitis?

Left iliac fossa pain
Tenderness
Fever
Nausea
Vomiting
Diarrhoea/Constipation
Raised white blood cell count

11

How do you manage diverticulitis?

Analgesia
Bowel rest (nil by mouth)
IV fluids
Antibiotics

Surgical resection if medical management fails or perforation occurs