Diverticular disease + diverticulitis Flashcards Preview

Liver + GI > Diverticular disease + diverticulitis > Flashcards

Flashcards in Diverticular disease + diverticulitis Deck (11):
1

what are diverticula

when pouches of mucosa extrude through the colonic muscular wall via weakened areas near blood vessels

2

diverticulosis

presence of diverticula

3

diverticular disease

diverticula are symptomatic

4

diverticulitis

inflammation of diverticular

(occurs when faces obstruct the neck of the intestine)

5

what's thought to be the cause

low fiber diet eaten in western populations

leads to increased intra-colonic pressure --> herniation of the mucosa at sites of weakness

6

epidemiology

diverticula affect 50% of over 50s

but are asymptomatic in 95%!!!!

7

what causes symptoms?

luminal narrowing --> pain and constipation

bleeding (can be massive)

diverticulitis

8

how can diverticulitis present?

often incidental finding from barium enema/colonoscopy

LIF pain, fever, and nausea

9

possible complications of diverticulitis

perforation, fistula formation or intestinal obstruction

10

Dx tests for acute diverticulitis

CT scan or US

11

treatment

acute attacks: antibiotics (cephalosporin and metronidazole)

surgery rare