Tuesday 11 September 2012

Diverticular disease

Diverticular disease

  • Presence of mucosal pouches protruding outside the bowel
  • Very common: 50% of those > 50 year old

Clinical features
  • 90% asymptomatic
  • Change in bowel habit
  • Left iliac fossa pain (diverticulitis)

Investigations
  • Barium enema
  • Colonoscopy
  • CT

Management
  • High-fibre diet
  • Antibiotics for diverticulitis

Complications
  • Diverticulitis - inflammation/infection
  • Diverticular abscess
  • Lower GI bleeding
  • Perforation

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