Thursday, September 4, 2008

Diverticulosis

Diverticulosis:-

Most commmon in sigmoid colon

Outpouchinngs of colonic mucosa at entrance of nutrient artery

low fibre diet as etiology

Symptoms:-
#aymptomatic

#Painful Diverticular Syndrome

#Left Lower abdominal colicky pain which gets relieved by defecation

Complications:-
(Most common cause of lower Gi bleeding in older patients.)

Painless Rectal Bleeding( most common cause of diverticular disease)

Heamatochezia

Diverticulitis:-

Inflammation caused from mechanical obstruction by fecolith.

Dx:-
Barium enema

Colonoscopy

For bleeding:-

Bleeding Scan

Angiography

Treatment:-

Increase fiber content

Surgery :-
If there is massive and recurrent bleeding

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