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Arnelis
7 February 2018
Div Gastroenterohepatology IPD FKUA
Diverticular Disease
• Diverticulosis
• Diverticulitis
Diverticulosis
http://digestive.niddk.nih.gov
Diverticulitis
• Inflammation of the diverticula
• Material caught in pocket causes
inflammation, infection
and bleeding.
Signs and Symptoms
• Diverticulosis
– Most people have no pain or symptoms
– Diarrhea
– Constipation
– Flatulence
– Heartburn
What causes Diverticular Disease?
• Lack of fiber in diet
– weak areas form pouches
• Lack of exercise
Diverticulitis
Pathophysiology
• Diverticula
– Acquired or congenital
– Can affect small or large intestine
– May be related to an increase in intramural
pressure
– Occurs in the weakest areas of the colonic wall
• Adjacent to the vasa recta
• Mesenteric side of the colon
Joffe, S, Kachulis, A., Emedicine, Online Version, 2005, Colon, diverticulitis, www.emedicine.com
• DiverticulaDiverticulitis
Definition
– Etiology
• Outpouchings
– Occur in areas weak and under stress
– Prolapse of mucosa and submucosa may
occur.
• Location
– Arteries penetrate the muscularis to
reach the submucosa and mucosa.
– Diverticula form through entire colon
» Left colon
» Sigmoid (most common)
http://health-pictures.com/diverticulitis-picture.htm » Right sided (uncommon)
Saunders, W., B., Wilcox, M., 2004, Elsevier imprint, Cecil’s Textbook of Medicine, Chapter 143, Online version, Diverticulitis
• DiverticulaDiverticulitis
EPIDEMIOLOGY
Definition
• Overall prevalence - 12% to 49% •
Increases with age
< 10% in those younger than 40 years >
50% to 66% of patients 80 years