Diverticular Disease Flashcards
What type of diverticuli occur in the right colon
True
Where is the most common site for diverticuli
Sigmoid colon
What is thought to trigger the development of diverticular disease
Low fibre diet with high intraluminal pressures
Categories of diverticular disease
Asymptomatic diverticulosis
Symptomatic diverticulosis
Diverticulitis
Diverticulitis with complications
How do patients present with diverticular disease
L IFP
Fever
Bloating
Change in bowel habits
Which Abx to give in diverticulitis
Ciprofloxacin
Metronidazole
Four complications of diverticulitis
- Perforation and local abscess formation
- Fistula (with bladder common)
- Uncontained perforation (peritonitis)
- Colonic stricture
What classification is used to grade diverticulitis complications
Hinchey classification
Four hinchey stages
- Oedema or localized contained abscess
- Walled of pelvic abscess
- Purulent peritonitis
- Faeculent peritonitis
Signs of colovesicular fistula
Pyuria
Faecaluria
Pneumaturia
Recurrent UTI
Causes of colonic obstruction in diverticulitis
- Small bowel adhering to infectious area
2. Stricture formation
What type of diverticuli occur in the left colon
False
From where in the colon is diverticular bleeding from (mot often)
Right sided
How to manage diverticular bleeding
Colonoscopy (clamp, inject or dithermy)
Labelled RBC scan (must be bleeding at 1ml/min)
Angiography and ebolisation
