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Clinical picture of diverticular disease of the colon.
Clin Gastroenterol 1986; 15(4):903-16CG

Abstract

Uncomplicated diverticular disease is usually asymptomatic. When abdominal pain or discomfort related to defecation, altered bowel habit, and flatulence occur, they are likely a result of a coexistent irritable bowel. Nonetheless, diverticula are subject to serious complications. Diverticular hemorrhage may be massive and require emergency angiography and segmental resection. Peridiverticulitis occurs when a diverticulum ruptures, perhaps because of inspissated fecal material. This occurs usually in the sigmoid, resulting in a peridiverticular abscess localized by the adjacent fat and mesentery. If the infection extends beyond this, abscess, fistula, or free perforation may occur. These complications require antibiotics, intravenous therapy, and, in the case of uncontrollable abscess or perforation, urgent surgery. Obstruction of the colon, sometimes associated with ileus, may occur and in this case one may find a carcinoma among extensive diverticular disease. Although there is insufficient evidence to justify a high-fiber diet for the general population, the notion of a low-residue diet in the management of uncomplicated diverticular disease should be laid to rest.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

3536213

Citation

Thompson, W G., and D G. Patel. "Clinical Picture of Diverticular Disease of the Colon." Clinics in Gastroenterology, vol. 15, no. 4, 1986, pp. 903-16.
Thompson WG, Patel DG. Clinical picture of diverticular disease of the colon. Clin Gastroenterol. 1986;15(4):903-16.
Thompson, W. G., & Patel, D. G. (1986). Clinical picture of diverticular disease of the colon. Clinics in Gastroenterology, 15(4), pp. 903-16.
Thompson WG, Patel DG. Clinical Picture of Diverticular Disease of the Colon. Clin Gastroenterol. 1986;15(4):903-16. PubMed PMID: 3536213.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical picture of diverticular disease of the colon. AU - Thompson,W G, AU - Patel,D G, PY - 1986/10/1/pubmed PY - 1986/10/1/medline PY - 1986/10/1/entrez SP - 903 EP - 16 JF - Clinics in gastroenterology JO - Clin Gastroenterol VL - 15 IS - 4 N2 - Uncomplicated diverticular disease is usually asymptomatic. When abdominal pain or discomfort related to defecation, altered bowel habit, and flatulence occur, they are likely a result of a coexistent irritable bowel. Nonetheless, diverticula are subject to serious complications. Diverticular hemorrhage may be massive and require emergency angiography and segmental resection. Peridiverticulitis occurs when a diverticulum ruptures, perhaps because of inspissated fecal material. This occurs usually in the sigmoid, resulting in a peridiverticular abscess localized by the adjacent fat and mesentery. If the infection extends beyond this, abscess, fistula, or free perforation may occur. These complications require antibiotics, intravenous therapy, and, in the case of uncontrollable abscess or perforation, urgent surgery. Obstruction of the colon, sometimes associated with ileus, may occur and in this case one may find a carcinoma among extensive diverticular disease. Although there is insufficient evidence to justify a high-fiber diet for the general population, the notion of a low-residue diet in the management of uncomplicated diverticular disease should be laid to rest. SN - 0300-5089 UR - https://www.unboundmedicine.com/medline/citation/3536213/Clinical_picture_of_diverticular_disease_of_the_colon_ L2 - https://ClinicalTrials.gov/search/term=3536213 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -