5MinuteConsult | Diverticular Disease

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Diverticular Disease Updated 4/2011

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Diverticular disease includes aymptomatic diverticula, symptomatic uncomplicated diverticular disease (recurrent pain, distention), diverticulitis, and diverticular hemorrhage
Diverticula: Saclike protrusion of the mucosal and submucosal wall
- Diverticulosis develops more commonly in countries where people eat a low-fiber diet.
- In Western societies, 90–95% are found in the sigmoid colon, whereas Asian populations have more right-sided disease.
- Diverticula number increase with age.
Diverticular hemorrhage: Occurs in 3–5% of patients with diverticular disease:
- Accounts for >40% of lower GI bleeds and 17–40% of cases of hematochezia in general
- Bleeding is more common from right-sided diverticula.
Diverticulitis: The most usual clinical complication, affects 10–25% of patients
Complicated diverticulitis includes associated abscess, perforation, fistula, or stricture.
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