Benign Conditions of the Large Bowel Flashcards
What is mucosal herniation through muscle coat involved in?
Diverticular disease
Where does diverticular disease normally occur and what dietary problem might have lead to it?
Sigmoid colon
Low fibre intake
Give three clinical features of diverticulitis?
LIF pain/tenderness
Septic
Altered Bowel Habit
Name two techniques for diagnosing diverticulitis?
Barium enema
Sigmoidoscopy
What are three treatment options for diverticular disease?
IV fluids
Bowel rest
IV antibiotics
What are pericolic abscess, perforation, haemorrhage, fistula and stricture all complications of?
Diverticular disease
What are the two surgical operations for diverticular disease?
- Hartmann’s procedure
2. Primary resection/anastomosis
What can infective colitis, UC,Crohns colitis and ischaemic colitis all cause?
Acute and chronic colitis
What are these symptoms of: diarrhoea +/- blood, abdominal cramps, dehydration, sepsis, weight loss and anaemia?
Acute and chronic colitis
What are four methods of diagnosing acute and chronic colitis?
- AXR
- Sigmoidoscopy and biopsy
- Stool cultures
- Barium enema
What artery is involved in ischaemic colitis?
Inferior mesenteric artery
What two types of patients does ischaemic colitis occur in?
Elderly and arteriopaths
What is an obscure cause of rectal bleeding, usually right side of colon and causes submucosal lakes of blood?
Colonic angiodysplasia
What are the two methods for diagnosing colonic angiodysplasia?
Angiography and colonoscopy
What are the three treatment methods for colonic angiodysplsia?
- Embolisation
- Endoscopic ablation
- Surgical resection
