Diverticulitis
| Subclass of | intestinal disease, diverticular disease, inflammatory disease, sigmoiditis, disease  |
|---|---|
| Health specialty | gastroenterology, general surgery |
| Medical examination | blood test, computed tomography, colonoscopy, lower gastrointestinal series |
| Possible treatment | antibiotic |
| Drug or therapy used for treatment | metronidazole, ciprofloxacin, levofloxacin hemihydrate, L-scopolamine |
| ICPC 2 ID | D92 |
| NCI Thesaurus ID | C26752 |
Diverticulitis, specifically colonic diverticulitis, be a gastrointestinal disease wey be characterized by inflammation of abnormal pouches—diverticula—wich fi develop insyd de wall of de large intestine.[1] Symptoms typically dey include lower abdominal pain of sudden onset, buh onset sanso fi occur over a few days.[1] Der sanso fi be nausea; den diarrhea anaa constipation.[1] Fever anaa blood insyd de stool dey suggest a complication. Repeated attacks fi occur.[2][3][4]
De causes of diverticulitis be unclear.[1] Risk factors fi include obesity, lack of exercise, smoking, a family history of de disease, den use of nonsteroidal anti-inflammatory drugs (NSAIDs).[1][2] De role of a low fiber diet as a risk factor be unclear.[2] E get pouches insyd de large intestine wey no be inflamed dem know am as diverticulosis.[1] Inflammation dey occur between 10% den 25% for sam point in time wey ebe secof a bacterial infection.[2][5] Diagnosis be typically by CT scan, though blood tests, colonoscopy, anaa a lower gastrointestinal series sanso be supportive.[1] De differential diagnoses dey include irritable bowel syndrome.[2]
Preventive measures dey include altering risk factors such as obesity, inactivity, den smoking.[2] Mesalazine den rifaximin appear useful for preventing attacks insyd those plus diverticulosis.[2] Avoiding nuts den seeds as a preventive measure be no longer recommended since der be no evidence dese dey play a role insyd initiating inflammation insyd de diverticula.[1][6] For mild diverticulitis, antibiotics by mouth den a liquid diet be recommended.[1] For severe cases, intravenous antibiotics, hospital admission, den complete bowel rest fi be recommended.[1] Probiotics be of unclear value.[2] Complications such as abscess formation, fistula formation, den perforation of de colon fi require surgery.[1]
References
[edit | edit source]- ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 "Diverticular Disease". www.niddk.nih.gov. September 2013. Archived from the original on 13 June 2016. Retrieved 12 June 2016.
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 Tursi, A (March 2016). "Diverticulosis today: unfashionable and still under-researched". Therapeutic Advances in Gastroenterology. 9 (2): 213–28. doi:10.1177/1756283x15621228. PMC 4749857. PMID 26929783.
- ↑ Rink, Andreas D.; Nousinanou, Maria Eleni; Hahn, Jasmina; Dikermann, Michael; Paul, Claudia; Vestweber, Karl-Heinz (October 12, 2019). "[Smoldering diverticultis – still a type of chronic recurrent diverticulitis with good indication for surgery? – Surgery for smoldering diverticulitis]". Zeitschrift für Gastroenterologie. 57 (10): 1200–1208. doi:10.1055/a-0991-0700. PMID 31610583. S2CID 204702433.
- ↑ "Colonic Diverticular Disease".
- ↑ Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Churchill Livingstone. 2014. p. 986. ISBN 9781455748013. Archived from the original on 2016-08-08.
- ↑ Young-Fadok, TM (October 2018). "Diverticulitis". New England Journal of Medicine. 379 (17): 1635–42. doi:10.1056/NEJMcp1800468. PMID 30354951. S2CID 239933906.
External links
[edit | edit source]
- Diverticulosis and diverticulitis at NIDDK
- Diverticulitis at Mayo Clinic
- Staging of Acute Diverticulitis archive of link above
