fwd: diverticular disease
DESCRIPTION
---------- Forwarded message ---------- From: UCD Graduate '09 None Date: 2009/2/25 Subject: Diverticular Disease To: [email protected]TRANSCRIPT
Diverticular Disease-definitions
• Saccular outpocketings of the colonic wall– congenital– acquired
• Diverticulitis - acute• Diverticulosis - chronic• Complicated diverticulitis
– fistulae / obstruction– perforation / haemorrhage
Diverticular Disease - incidence
• developed world
• 20th centuary
• 10% Diverticular Disease at 40 years
• 60% at 80 years
Diverticular Disease-aetiology
• low bulk stool
• increased segmentation
• muscular hypertrophy
Diverticular Disease-anatomy
Diverticular Disease-distribution
Diverticular Disease-macroscopic
Diverticular Disease
Diverticular Disease-symptoms
• Diverticulosis– LIF pain
• Diverticulitis– left sided appendicitis
Diverticular Disease
• Chronic– carcinoma– crohns disease– uc– ibs
• Acute– PID
– ischaemic colitis
– appendicitis
– Crohns disease
Diverticular Disease
• Double contrast barium enema
• CT scanning
• colonoscopy
Diverticular Disease
Diverticular Disease
Diverticular Disease
Diverticular Disease
• Diverticulosis– diet– anticholinergics
Diverticular Disease
• Diverticulitis– Antibiotics– IVI– NG tube
Diverticular Disease-surgery
• Elective– fistulae
– stricture
– young
– recovery abscess
• Emergency– free perforation
– intrabdominal abscess
– bleeding
– bowel obstruction
Diverticular disease-surgery
• Elective– preoperative
preparation
– resection and anastomosis
• Emergency– resuscitation
– resection and colostomy