scholarly journals Congenital Diverticular Disease of the Entire Colon

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
A. Patel ◽  
H. M. N. Joshi ◽  
C. Kaur ◽  
J. M. Wilson
Keyword(s):  
Diverticular Disease ◽  
Rare Condition ◽  
Entire Colon ◽  
Colonic Diverticulosis ◽  
Colonic Wall

Congenital or true colonic diverticulosis is a rare condition typified by the preservation of the colonic wall architecture within the diverticular outpouching. Cases of multiple jejunal diverticula have been reported as well as cases of solitary giant diverticula of the colon. There have been no reports in the literature of pancolonic congenital diverticulosis.

scholarly journals Prognostic value of the Diverticular Inflammation and Complication Assessment (DICA) classification

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Nasi ◽  
A M Mastromatteo ◽  
G Cambiè ◽  
F Di Mario ◽  
W Elisei ◽  
...  
Keyword(s):  
Public Health ◽  
Diverticular Disease ◽  
Severity Score ◽  
Prognostic Value ◽  
Complicated Diverticulitis ◽  
Significant Relation ◽  
Colonic Diverticulosis ◽  
Time Period ◽  
Endoscopic Classification ◽  
The Cost

Abstract Colonic Diverticulosis is one of the most common anatomic alterations found in the clinical practice. This condition has 60% incidence in the population over 60 years old. About 20% of patients with this condition will develop Diverticular Disease, and 5% of them will evolve into Diverticulitis. The aim of the study is to analyse the validation of the classification considering the distribution of the severity DICA score between the patients with diagnosis of colonic Diverticulosis. We analysed and classified with DICA 5635 colonoscopies in the period between January 2012 and April 2018 and we obtained the Hospital Discharge Form from all the patients that had been admitted to the hospital in the same time period. The results showed that 69.9% of the patients were assigned to the score DICA1, 21% to DICA2 and 9.1% to DICA3. Ageing increased both the diagnosis of Diverticular Disease and the severity score. The severity was higher in female patients (DICA1=44.6%,DICA2=50.8%,DICA3=57.8%). The occurrence of complications overall was 5.4% and specifically: not complicated Diverticular Disease (DICA1=1%, DICA2=1.8%, DICA3=3.5%); not complicated Diverticulitis (DICA1=2.1%, DICA2=4.7%, DICA3=6.4%); Bleeding in Diverticulitis (DICA1=0.4%, DICA2=1.2%, DICA3=4.5%); Diverticular Perforation (DICA1=0.0%, DICA2=0.1%, DICA3=0.4%). The complications that needed a surgical procedure were for DICA1 about 0.2%, for DICA2 0.8% and for DICA3 2.5%. As well the average of the occupant days in the hospital and the cost, respectively, was for DICA1:8.5 days and 2300 €; for DICA2:9.5 days and 3080 €; for DICA 3:13 days and 4090 €. The majority of the patients with Diverticular Disease belonged to the severity score DICA1 and the patients classified with DICA3 were mainly female and older than 69 years old. The study confirmed the prognostic value of the endoscopic classification DICA since the occurrence of complication resulted in a statistically significant relation with the score DICA3. Key messages DICA classification was able to discriminate, based on endoscopic records, the patients that could develop complications for Diverticular Disease. DICA classification is a valid parameter to predict the outcome of the disease, with great impact on public health improving the effectiveness of treatment.

scholarly journals Italian consensus conference for colonic diverticulosis and diverticular disease

2014 ◽  
Vol 2 (5) ◽  
pp. 413-442 ◽  
Author(s):  
Rosario Cuomo ◽  
Giovanni Barbara ◽  
Fabio Pace ◽  
Vito Annese ◽  
Gabrio Bassotti ◽  
...  
Keyword(s):  
Diverticular Disease ◽  
Consensus Conference ◽  
Colonic Diverticulosis

Inflammatory and Phenotypic Smooth Muscle Alterations in Colonic Diverticulosis and Diverticular Disease

2017 ◽  
Vol 152 (5) ◽  
pp. S50 ◽  
Author(s):  
Lucia Pallotta ◽  
Annunziata Scirocco ◽  
Antonia A. Ignazzi ◽  
Maria Antonietta M. Maselli ◽  
Alessia Cicenia ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Diverticular Disease ◽  
Colonic Diverticulosis

PC.01.2: Muscle Alterations in Colonic Diverticulosis and Diverticular Disease

2017 ◽  
Vol 49 ◽  
pp. e73-e74
Author(s):  
L. Pallotta ◽  
A. Scirocco ◽  
A. Ignazzi ◽  
M.A. Maselli ◽  
A. Cicenia ◽  
...  
Keyword(s):  
Diverticular Disease ◽  
Colonic Diverticulosis

Current trend of colonic diverticulosis in patients undergoing colonoscopy in a tertiary care hospital in Northern India

2021 ◽  
Vol 12 (2) ◽  
pp. 25-29
Author(s):  
Shabir Ahmad Shiekh ◽  
Zafar Iqbal Kawoosa ◽  
Shafat Sideeq Lone ◽  
Irfan Rasool Wani ◽  
Asif Iqbal Shah ◽  
...  
Keyword(s):  
Diverticular Disease ◽  
Tertiary Care ◽  
Current Trend ◽  
Adenomatous Polyps ◽  
Care Hospital ◽  
Colonic Diverticulosis ◽  
Northern India ◽  
Indian State ◽  
Hospital Visits ◽  
Low Prevalence

Background: Diverticular disease of the colon has a wide geographic variation and is a very common cause of hospital visits and admissions in the west. Contrary to this there is scarce data on colonoscopic prevalence of diverticular disease from our country. Aims and Objectives: To determine the prevalence of colonic diverticulosis and concomitant colonoscopic pathologies among patients undergoing colonoscopy in a tertiary care gastrointestinal endoscopy setting in Northern India. Materials and Methods: All adult patients who underwent colonoscopy for various indications and were diagnosed to have colonic diverticulosis from August 2016 to December 2019 in the Department of Gastroenterology, Shifa Medical centre, Srinagar, Kashmir, India were included in the study. Results: Out of a total of 4500 colonoscopic procedures, diverticulosis was seen in 190 cases with an overall prevalence of 4.2%. Fifty-six percent of these were males and 44% were females. In 77 (40.52%) patients diverticulosis was seen in left colon, in 72 (37.89 %) in right colon and in 41 (21.57 %) diverticulosis was noted in pancolonic distribution. Adenomatous polyps were seen in 27 % of the cases. Conclusion: Colonic diverticulosis has very low prevalence in this northern Indian state. Adenomatous polyps are commonly associated with this condition.

Colonic Diverticulosis, Diverticular Disease and Diverticulitis: A Clinical Review

2010 ◽  
Vol 4 (4) ◽  
pp. 223-229
Author(s):  
Meera Patel ◽  
Arun Takhar ◽  
James A. Stephenson ◽  
Matthew Metcalfe ◽  
Ashley Dennison
Keyword(s):  
Diverticular Disease ◽  
Clinical Review ◽  
Colonic Diverticulosis

scholarly journals Does ispaghula husk stimulate the entire colon in diverticular disease?

Gut ◽  
1992 ◽  
Vol 33 (3) ◽  
pp. 352-356 ◽  
Author(s):  
H A Thorburn ◽  
K B Carter ◽  
J A Goldberg ◽  
I G Finlay
Keyword(s):  
Diverticular Disease ◽  
Entire Colon

scholarly journals Atypical Presentation of Colonic Diverticular Disease

2021 ◽  
Vol 33 (1) ◽  
pp. 94-98
Author(s):  
Refaya Tasnim ◽  
Nawsabah Noor ◽  
Quazi Tarikul Islam
Keyword(s):  
Gastrointestinal Bleeding ◽  
Diverticular Disease ◽  
Lower Gastrointestinal Bleeding ◽  
Common Finding ◽  
Fresh Blood ◽  
Colonic Diverticulosis ◽  
Infectious Colitis ◽  
Colonic Neoplasia ◽  
Life Threatening ◽  
Colonic Diverticular Disease

Hematochezia or passage of fresh blood per rectum is a relatively common finding in medical practice which mostly indicates lower gastrointestinal bleeding. The causes for lower gastrointestinal bleeding include diverticular disease, vascular ectasia, ischemic, inflammatory or infectious colitis, colonic neoplasia, hemorrhoids, anal fissures and small bowel lesions (Crohn’s disease, Vascularectasia, Meckel’s diverticulum).If a patient comes with severe hematochezia, the first and foremost task is to stabilize the patient and then find out the source of bleeding as soon as possible. Elderly patients presenting with severe hematochezia, is most likely due to colorectal malignancy but benign causes like colonic diverticulosis can also present as life threatening bleeding in rare occasions. Here we report a case of 70-years-old male patient presenting with severe painless hematochezia leading to severe anemia due to diverticulosis. Bangladesh J Medicine July 2022; 33(1) : 94-98

scholarly journals Spontaneous Ureterocolic Fistula between Nonfunctioning Kidney Transplant Ureter and Colon in Setting of Diverticulitis

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Madison K. Krischak ◽  
Jeffrey R. Ord ◽  
Ashton A. Connor ◽  
Andrew S. Barbas
Keyword(s):  
Kidney Transplantation ◽  
Renal Transplant ◽  
Diverticular Disease ◽  
Sigmoid Colon ◽  
Kidney Transplant ◽  
Rare Condition ◽  
Kidney Transplants

Ureterocolic fistula is a rare condition that most commonly occurs in the setting of diverticular disease. The development of a ureterocolic fistula following kidney transplantation is even rarer, with no prior cases in the literature to our knowledge. We describe the case of a patient with three prior failed kidney transplants who developed a fistula between the sigmoid colon and nonfunctioning renal transplant ureter in the setting of diverticulitis.

scholarly journals Comprehensive Ultrasound Diagnosis of Sigmoid Diverticulitis

2021 ◽  
Vol 31 (4) ◽  
pp. 45-54
Author(s):  
A. I. Кoushnerou ◽  
I. A. Hadji-Ismail ◽  
A. V. Vorobei ◽  
S. I. Rudenka
Keyword(s):  
The Netherlands ◽  
South Korea ◽  
Diverticular Disease ◽  
Ultrasound Examination ◽  
Acute Diverticulitis ◽  
Sigmoid Diverticulitis ◽  
Colonic Wall ◽  
X Ray ◽  
Colon And Rectum ◽  
Abdominal Quadrant

Aim. A definition and systematisation of sigmoid diverticulitis semiotics in a comprehensive ultrasonic check-up for early illness diagnosis.Materials and methods. Ultrasound examination data on 64 patients with sigmoid diverticulum have been analysed. The primary visit reason was recurrent varying-intensity pain in left abdominal quadrant, unstable stool and flatulence. The patients were 28 (43.75%) men and 36 (56.25%) women aged 38–85 years, mean age 55.6 years; 31 (48.44%) were diagnosed with diverticulitis. We used the HD15 (Philips, the Netherlands), HS 60 (Samsung, South Korea) and Hi Vision Preirus (Hitachi, Japan) ultrasound instruments equipped with convex and intracavitary microconvex 2–12 MHz linear transducers. Patients were examined on an empty stomach and unprepared intestine. Colon and rectum were explored at different approaches, transabdominally, transperineally, transrectally and transvaginallyResults. The findings laid out a more elaborated ultrasound semiotics of diverticulitis. Ultrasound check-up enables a reliable estimation of blood supply and peristalsis, colonic wall thickness and layers, presence of asymptomatic diverticula, signs of acute diverticulitis (pain on sensor touch, mesocolic tissue infiltration, presence of faecal calculi and gas in diverticulum, peridiverticulitis) and other complications of diverticular disease (fistulae, abscess or peritonitis), as well as a consistent differential instrumental diagnosis of other organ illnesses.Conclusion. Ultrasound is an indispensable supplement in clinical diagnosis of diverticula, diverticulitis and their complications in the cases when other methods like X-ray, CT or colonoscopy are contraindicated.

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