DiverticulitisNonOpManagement

DiverticulitisNonOpManagement - Uncomplicated...

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Uncomplicated Diverticulitis non-surgical treatment Sanjay Munireddy Sinai Hospital of Baltimore
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DIVERTICULOSIS Small outpouchings of colonic mucosa and submucosa through muscularis externa Emanate from weak points in the wall where mesenteric blood vessels penetrate the circular muscle layer Incidence of diverticulosis is about 10% in pts. over 40 yrs of age and 50% over the age of 60. Sigmoid colon is involved in 90% of the pts. Increased intraluminal pressure thought to be the cause (constipation, colonic spasms etc.)
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DIVERTICULITIS Complication of diverticulosis Causes: Impaction of feces or hardened mucus within the diverticulum Increased intraluminal pressure Symptoms: fever, lower abd pain, nausea, vomiting, irregular bowel habits Complicated diverticulitis: obstruction, abscess or fistula formation, perforation
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Diverticulitis 15-20% pts. with diverticulosis develop symptomatic diverticulitis 15-20% of those with diverticulitis develop complications As many as 20% of pts with diverticulitis are <50 yrs of age
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DiverticulitisNonOpManagement - Uncomplicated...

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