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Related to Diverticular disease: diverticulitis


a disorder characterized by the presence of diverticula, which are small, usually multiple saclike protrusions through the wall of the colon (large intestineintestine,
muscular hoselike portion of the gastrointestinal tract extending from the lower end of the stomach (pylorus) to the anal opening. In humans this fairly narrow (about 1 in./2.
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). Diverticula usually do not cause symptoms unless they become inflamed, in which case the condition is called diverticulitis. Symptoms of diverticulitis vary and may include abdominal pain, fever, bleeding, and diarrhea or constipation. Treatment includes bed rest, antibiotics, and a soft diet.

Diverticulosis becomes more common as people grow older, and it is estimated that more than 50% of people in Western countries acquire the condition by age 80. Many physicians believe that lack of fiber or bulk in the diet is a contributing factor in diverticulosis.

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Presence of many diverticula in the intestine.
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.
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Epidemiology and pathophysiology of diverticular disease. Clin Colon Rectal Surg.
Spectrum of disease and outcome of complicated diverticular disease. Am J Surg 2003; 186: 696-701.
Neugebauer, "Diagnosis and treatment of diverticular disease: results of a consensus development conference.
Diverticular disease of the colon is a multifactorial disease influenced by ethnicity, diet, and possibly genetics [2].
These secondary factors are pyloric stenosis, peptic ulcer, appendicitis, ischemic and inflammatory intestinal diseases, diverticular disease, sigmoid volvulus, obstructive pulmonary diseases, connective tissue diseases, nephrotic syndrome, AIDS, transplantation, the use of some medications (chemotherapeutic agents, steroids, sorbitol, lactulose) various parasitic diseases of the intestine, hematological tumors, and surgical or endoscopic trauma (2).
They noted that CRC among White patients was similar to that seen in western countries with respect to incidence' distribution, sex ratio, and synchronous lesions; in the African population' CRC was uncommon and presented late with advanced disease, with absence of synchronous adenomatous polyps and cancers and absence of diverticular disease, and was associated with a high fibre and low meat and fat diet.
Diet and risk of diverticular disease in Oxford cohort of European Prospective Investigation into Cancer and Nutrition (EPIC): prospective study of British vegetarians and non-vegetarians.
While the study makes a renewed case for limiting red meat consumption, increasing fiber consumption is one known preventive measure for diverticular disease. This step, combined with substituting more servings of red meat with poultry or fish, could help stave off the disorder even if red meat, which is particularly rich in iron, is not entirely phased out of one's diet.
Overall, most patients (80 to 90%) with diverticular disease are asymptomatic.
While there was gross evidence of sigmoid diverticular disease, no fistula tract between the intestinal segments was identified.
Consider these tips to promote good colon health and, potentially, reduce your risk of diverticular disease:
Diverticular disease accounts for 17-40% of the cases of lower GIBs, and results from weakness at the site in the colon wall where the circular muscle layer is penetrated by the vas recta which drape over the dome of the diverticulum and become susceptible to trauma and disruption.