Diverticular disease of the colon

Stollman, Neil; Raskin, Jeffrey B.

doi:10.1016/s0140-6736(04)15597-9

Cited by 570 publications

(464 citation statements)

References 94 publications

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“…[1][2][3] Diverticular disease has been considered a lifestyle disease of western countries. Age, urbanisation and low-fibre diets are thought to be risk factors for developing the disease.…”

Section: Researchmentioning

confidence: 99%

“…In those who are symptomatic, the most common presenting symptoms are rectal bleeding, abdominal pain and constipation. [2][3][4][5] The highest prevalence of diverticular disease is found in the USA, Europe and Australia, where up to 50% of the population over 60 years of age and 60% of persons over 80 years old have the disease. This is in stark contrast with black and Asian populations, where the prevalence has been reported as less than 0.5 -1.0%.…”

Section: Researchmentioning

confidence: 99%

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An investigation of diverticular disease among black patients undergoing colonoscopy at Dr George Mukhari Academic Hospital, Pretoria, South Africa

2017

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Background. Diverticular disease was previously thought to be non-existent in the black African population. Studies over the past four decades, however, have shown a steady increase in the prevalence of the disease. Objective. To report on the profile and current prevalence of diverticular disease in the black South African (SA) population at Dr George Mukhari Academic Hospital, Pretoria, SA. Methods. A retrospective descriptive study was performed in black SA patients who were diagnosed with diverticular disease by colonoscopy between 1 January and 31 December 2015.Results. Of 348 patients who had undergone colonoscopies and who were eligible for inclusion in this study, 47 were diagnosed with diverticular disease -a prevalence of 13.50% (95% confidence interval 10.30 -17.50). The greatest number of patients diagnosed were in their 7th and 8th decades, with an age range of 46 -86 (mean 67) years. There was a female predominance of 57.45%. Lower gastrointestinal bleeding was the most common (65.96%) indication for colonoscopy. The left colon was most commonly involved (72.34%), followed by the right colon (55.31%). A substantial number of patients had pancolonic involvement (27.65%). Conclusion. This retrospective study suggests that there has been a considerable increase in the prevalence of diverticular disease among black South Africans, possibly owing to changes in dietary habits and socioeconomic status.

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Section: Researchmentioning

confidence: 99%

Section: Researchmentioning

confidence: 99%

An investigation of diverticular disease among black patients undergoing colonoscopy at Dr George Mukhari Academic Hospital, Pretoria, South Africa

2017

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“…Amoksisilin-klavulanik asit, sulfametaksazol-trimetoprim ve metronidazol ya da kinolon ve metronidazol kombinasyonları uygun seçeneklerdir. Semptomların düzelmesi 2-3 günü bulabileceği için, hastanın yeniden kontrole çağırılması ve değerlendirilmesi uygun olacaktır (88)(89)(90). Semptomların devamı halinde peridivertiküler apse yanı sıra diğer komplikasyonlar araştırılmalı ve hasta hastaneye yatırılmalıdır.…”

Section: Divertikülitunclassified

Geriatrik hastada akut karın ağrısına yaklaşım

Ersel¹

2014

Ege Tıp Dergisi

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Dünya nüfusunun hızla yaşlanması sonucu acil servislere karın ağrısı ile başvuran geriatrik yaş grubu hasta sayısı da hızla artmaktadır. Değişen fizyoloji, komorbid hastalıklar, iletişim güçlükleri, çoklu ilaç kullanımı, yaşlı hastalarda akut karın tablosunda tanı koymayı güçleştirmektedir. Bu güçlüklere karşın bir çok hastanın organ spesifik tanısı acil serviste konmaktadır. Geriatrik yaş grubundaki hastalarda karın ağrısı tablosunda altta yatan bir cerrahi patoloji olma olasılığı yüksektir. Bu nedenle geriatrik hastaların karın ağrılarında tetkik ve konsültasyon istemleri diğer hasta gruplarına oranla daha hızlandırılmış ve öncelikli olarak yapılmalı, tanı güçlüğü çekilen hastalarda yatış ile gözlem ön plana alınmalıdır.Anahtar Sözcükler: Acil servis, acil yaklaşım, akut batın, geriatrik hasta. Summary As a result of rapidly aging of the world's population, the number of patients admits with complaint of acute abdominal pain to the emergency deparments in the geriatric age group is increasing. Changing physiology, comorbid disorders, barriers to communication and polypharmacy makes it difficult to make diagnosis in elderly patients

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“…According to a survey conducted in the west, the prevalence is less than 10% under the age of 40 but 50%-66% over the age of 80 (1,2). Recently, in several Asian countries, the occurrence of colonic diverticulosis has been steadily increasing, and in Korea, it has reached about 10% according to a national report (3).…”

Section: Introductionmentioning

confidence: 99%

“…Recently, in several Asian countries, the occurrence of colonic diverticulosis has been steadily increasing, and in Korea, it has reached about 10% according to a national report (3). Colonic diverticular disease can be divided into uncomplicated diverticular diseases, such as diverticulosis, and complicated diverticular diseases, including diverticulitis and diverticular bleeding (1,4,5). Although age is the most powerful risk factor for this disorder, dietary meat intake and Western lifestyles are known to be significantly associated with it.…”

Section: Introductionmentioning

confidence: 99%

The relationship between colonic diverticulosis and abdominal visceral and subcutaneous fat accumulation measured by abdominal CT scan

Lee

Ahn

Lee

et al. 2014

Turk J Gastroenterol

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Background/Aims: Besides age, risk factors for colonic diverticular disease include dietary meat intake and Western lifestyles, which are also risk factors for obesity. However, the association between obesity and colonic diverticular disease, including diverticulosis and diverticulitis, is not well established. The aim of this study was to investigate the relationship between colonic diverticulosis and obesity using abdominal fat quantified by abdominal CT scan and lipid profiles, as well as body mass index (BMI). Materials and Methods: In this study based on a retrospective case note review, we enrolled 133 subjects (control group (n=55), diverticulosis group (31), and diverticulitis group (47)). Abdominal fat areas (total abdominal fat, visceral fat, subcutaneous fat) were quantified by abdominal CT scan. Serum lipid profiles and BMI were checked. Statistical analysis was performed by independent t-tests, with significance set at p<0.05. Results: In the diverticulosis group, total abdominal fat area, visceral fat area, and abdominal subcutaneous fat area were all larger than those of the control and diverticulitis groups. In the diverticulitis group, total cholesterol, high density lipoprotein (HDL), low-density lipoprotein (LDL), and BMI were lower than in the control and diverticulosis groups. There were no significant differences between the three groups in visceral-to-subcutaneous abdominal fat ratios and serum triglyceride levels. Conclusion: In conclusion, obesity may predispose one to occurrence of colonic diverticulosis. Abdominal fat measurement by CT scan may be a good method of assessing risk of colonic diverticular disease.

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Diverticular disease of the colon

Cited by 570 publications

References 94 publications

An investigation of diverticular disease among black patients undergoing colonoscopy at Dr George Mukhari Academic Hospital, Pretoria, South Africa

An investigation of diverticular disease among black patients undergoing colonoscopy at Dr George Mukhari Academic Hospital, Pretoria, South Africa

Geriatrik hastada akut karın ağrısına yaklaşım

The relationship between colonic diverticulosis and abdominal visceral and subcutaneous fat accumulation measured by abdominal CT scan

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