التفاصيل البيبلوغرافية
| العنوان: |
Diverticulitis, Current Controversies: Review of the Literature |
| المؤلفون: |
Salgado Nesme N, Navarro Navarro A*, Vergara Fernandez O and Reyes Monroy A |
| بيانات النشر: |
MedCrave |
| سنة النشر: |
2017 |
| المجموعة: |
MedCrave |
| مصطلحات موضوعية: |
Diverticulosis, Complicated, Uncomplicated, Clinical trials, Outcomes, Recurrence, Failure of treatment, Morbidity, Mortality, Surgery, Antibiotics, Percutaneous drainage, Computed tomography, Intravenous, Inflammatory bowel diseases |
| الوصف: |
Colonic diverticulosis is a frequent clinical condition with the growing prevalence. The general prevalence of diverticular disease is uncertain because the majority of patients are asymptomatic, still one out of three individuals older than 60 years old are affected. It has been estimated that 10-25% of individuals with diverticular disease will develop acute diverticulitis [1]. Recent studies suggest that the risk for acute diverticulitis for patients with diverticular disease is actually lower (4-10%) [2]. Nevertheless, with today demographic changes, the load of diseases caused by diverticulitis will keep increasing in the upcoming years. Diverticula develop at well-defined points of weakness, which correspond to where the vasa recta penetrate into the circular muscle layer of the colon. A typical colonic diverticulum is a "false" or pulsion diverticulum, in which mucosa and submucosa herniate through the muscle layer, covered only by serosa. Abnormal colonic motility is an important predisposing factor in the development diverticula. Patients with diverticulosis have exaggerated segmentation contractions in which segmental muscular contractions separate the lumen into chambers. It is hypothesized that the increase in intraluminal pressure predisposes to herniation of mucosa and submucosa. Acute diverticulitis is suspected in patients with lower abdominal pain (typically in the left lower quadrant), abdominal tenderness on physical examination and leukocytosis on laboratory testing. The diagnosis is usually confirmed by an abdominopelvic computed tomography (CT) scan, which also distinguishes complicated from uncomplicated disease. Diverticulitis is classified into complicated or uncomplicated disease based on imaging studies such as a CT scan [3]. The prevalence of each one is 4% and 15% respectively and has recurrence rates from 15 to 30% [4]. |
| نوع الوثيقة: |
review |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
http://medcraveonline.com/JLRDT/JLRDT-03-00065.pdfTest |
| الإتاحة: |
http://medcraveonline.com/JLRDT/JLRDT-03-00065.pdfTest |
| حقوق: |
http://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: |
edsbas.A2A2D639 |
| قاعدة البيانات: |
BASE |
