Diverticular disease
Updates to Article Attributes
Diverticular disease generally is an overarching term for any pathology involving a diverticula but most commonly refers to phenomenon involving acquiredcolonic diverticula along the lower gastrointestinal tract. It covers a range of and may account for a variety of presentations. Diverticulosis is largely asymptomatic however 4% of individuals with diverticula develop diverticulitis throughout their lifetime 5.
Terminology
There is overlap in terms used to describe the pathologies associated with colonic diverticula 6:
- diverticulosis: presence of non-inflamed diverticula
- diverticulitis: inflamed diverticulum/diverticula
- diverticular disease: overarching term for any entity involving diverticula including diverticulosis, diverticulitis, diverticular haemorrhage, etc
Clinical presentation
Diverticulosis is largely asymptomatic, however, 4% of individuals with diverticula develop diverticulitis throughout their lifetime 5.
Pathology
Outpouchings of bowel result in blind-ended diverticula in communication with the lumen of the bowel. They most commonly occur within the sigmoid colon, although may arise anywhere along the small/large bowel (although the rectum is very rare 4):
-
colonic diverticulosis: presence of multiple diverticula within the bowel
- colonic diverticulitis: inflammation of the diverticula
- small intestine diverticular disease
See also
-<p><strong>Diverticular disease</strong> generally refers to phenomenon involving acquired diverticula along the lower <a href="/articles/gastrointestinal-tract">gastrointestinal tract</a>. It covers a range of pathologies and may account for a variety of presentations. Diverticulosis is largely asymptomatic however 4% of individuals with diverticula develop <a href="/articles/colonic-diverticulitis-1">diverticulitis</a> throughout their lifetime <sup>5</sup>.</p><h4>Terminology</h4><ul>- +<p><strong>Diverticular disease</strong> is an overarching term for any pathology involving a diverticula but most commonly refers to colonic diverticula and its pathologies. </p><h4>Terminology</h4><p>There is overlap in terms used to describe the pathologies associated with colonic diverticula <sup>6</sup>:</p><ul>
-<li>diverticular disease: overarching term for any entity involving diverticula</li>-</ul><h4>Pathology</h4><p>Outpouchings of bowel result in blind-ended diverticula in communication with the lumen of the bowel. They most commonly occur within the <a href="/articles/sigmoid-colon">sigmoid colon</a>, although may arise anywhere along the small/large bowel (although the <a href="/articles/rectum">rectum</a> is very rare <sup>4</sup>):</p><ul>- +<li>diverticular disease: overarching term for any entity involving diverticula including diverticulosis, diverticulitis, diverticular haemorrhage, etc</li>
- +</ul><h4>Clinical presentation</h4><p>Diverticulosis is largely asymptomatic, however, 4% of individuals with diverticula develop <a href="/articles/colonic-diverticulitis-1">diverticulitis</a> throughout their lifetime <sup>5</sup>.</p><h4>Pathology</h4><p>Outpouchings of bowel result in blind-ended diverticula in communication with the lumen of the bowel. They most commonly occur within the <a href="/articles/sigmoid-colon">sigmoid colon</a>, although may arise anywhere along the small/large bowel (although the <a href="/articles/rectum">rectum</a> is very rare <sup>4</sup>):</p><ul>
-<a href="/articles/diverticulitis">colonic diverticulitis</a>: inflammation of the diverticula</li></ul>- +<a href="/articles/colonic-diverticulitis-1">colonic diverticulitis</a>: inflammation of the diverticula</li></ul>
-<li><a href="/articles/duodenal-diverticula">duodenal diverticulosis</a></li>-<li><a href="/articles/meckel-diverticulum-1">Meckel diverticulum</a></li>- +<li><a href="/articles/duodenal-diverticulum-1">duodenal diverticulosis</a></li>
- +<li><a href="/articles/meckel-diverticulum-3">Meckel diverticulum</a></li>
-<li><a title="Oesophageal diverticulum" href="/articles/oesophageal-diverticulum-1">oesophageal diverticulosis</a></li>-<li><a title="Gastric diverticulum" href="/articles/gastric-diverticulum">gastric diverticulosis</a></li>- +<li><a href="/articles/oesophageal-diverticulum-1">oesophageal diverticulosis</a></li>
- +<li><a href="/articles/gastric-diverticulum">gastric diverticulosis</a></li>
References changed:
- 6. Peery A. Management of Colonic Diverticulitis. BMJ. 2021;372:n72. <a href="https://doi.org/10.1136/bmj.n72">doi:10.1136/bmj.n72</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/33762260">Pubmed</a>
Tags changed:
- cases
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