Benign Conditions of Large Bowel Flashcards
Common diseases of the large bowel?
Carcinoma of colon/rectum Colonic polyps Crohn's colitis Ulcerative colitis Diverticular disease Functional disorders
Less common disease of large bowel?
Colonic volvulus
Colnic angiodysplasia
Ischaemic colitis
Pseudo-obstruction
Diverticular disease. What happens?
Muscle herniation through muscle coat which occurs in sigmoid colon
What is used to classify acute diverticulitis?
Hinchey Classification for acute diverticulitis
What is true diverticula opposed to false?
True= includes all layers of bowel wall False= Includes serosa and mucosal layer
Complications with diverticulitis?
Pericolic abscess Perforation Haemorrhage (colocolic, colocutaneous, colovesical, colovaginal (with hysterectomy)) Fistula Structure
What is a fistula?
Abnormal communications between 2 epithelial surfaces
How to get a diagnosis of diverticulitis?
Clinical
Barium enema
Sigmoidoscopy
Clinical features of diverticulitis?
- Left Iliac Fossa Pain/tenderness
- Septic
- Altered bowel habit
Treatment for uncomplicated diverticulitis?
IV or oral antibiotics
Treatment for complex diverticulitis?
- Primary Resection/ anastamosis
- Hartmann’s procedure
- Percutaneous drainage
- Laparoscopic lavage and drainage
Causes of acute/chronic colitis?
Infective colitis
Ulcerative colitis
Crohn’s and ischaemic colitis
Where does ulcerative colitis begin?
Begins in rectum and moves proximally
Where can Crohn’s be?
Anywhere but most commonly in terminal ileum
Symptoms of acute/chronic colitis?
Diarrhoea+-blood. abdominal cramps, dehydration, sepsis, weight loss, anaemia
