diverticulitis
DIVERTICULITIS
Diverticulitis is the acute inflammation of the diverticulum or saclike protrusion from the wall of the intestines caused by injury and bacterial proliferation. 
Abdominal pain is usually localized to the left lower quadrant, is abrupt, steady, severe and worsens over time.
Other signs and symptoms are fever, anorexia, nausea, vomiting, and altered bowel movements especially constipation but may also present with diarrhea or tenesmus.

Follow Up

Re-evaluation of the patient should be done after resolution of an attack of acute diverticulitis

  • Appropriate exams 6 weeks after recovery include colonoscopy or a combination of flexible sigmoidoscopy & barium enema
    • Establishes extent of disease & rules out polyps or carcinoma
  • Diverticulitis may result in formation of strictures which may have a carcinoma-like appearance & may need to be biopsied
  • Patient should be instructed to gradually resume a high-fiber diet
    • Long-term fiber supplementation may reduce recurrence of attacks
  • Surgery may be needed for recurrent attacks of diverticulitis
    • Elective surgery is not needed for patients responsive to medical treatment & not routinely recommended for either uncomplicated or complicated diverticulitis in young patients
  • Advise patients to avoid using non-Aspirin nonsteroidal anti-inflammatory drugs (NSAIDs)
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Gastroenterology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Tristan Manalac, 5 days ago
Atopic dermatitis appears to impair sleep quality, but not sleep duration, in children, particularly in those with more severe diseases, according to a new study.
6 days ago
Individuals following a diet low in or free of meat are at lower risk of diabetes, and this protective association is partly attributable to having a lower body mass index when compared with regular meat eaters, according to a study.
3 days ago
Drinking coffee confers benefits for recurrence of hepatocellular carcinoma (HCC) and survival following orthotopic liver transplantation, a study has found.
6 days ago
Vitamin E supplementation does not appear to contribute to blood pressure (BP) improvement, with results of a recent systematic review and meta-analysis showing decreases only in systolic (S)BP but no favourable effect on diastolic (D)BP and mean arterial pressure (MAP).