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Your search term(s) "diverticul*" returned 121 results.

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Segmental Colitis Associated with Diverticular Disease and Other IBD Look-alikes. Journal of Clinical Gastroenterology. 40(3): S132-S135. August 2006.

A diverticulum is a sac-like protrusion on the wall of the colon; thus, diverticulosis is the presence of diverticula. Diverticulitis is a condition where these diverticula are inflamed. This article explores segmental colitis associated with diverticular disease (SCAD), an inflammatory disorder that has close clinical and histopathological similarities to idiopathic inflammatory bowel disease (IBD). SCAD is a chronic colitis that is confined to the diverticular segment in individuals with otherwise uncomplicated diverticular disease. The author compares SCAD with other IBD-like conditions, such as blind-ended pouches in ulcerative colitis, chronic granulomatous appendicitis, and delayed-surgery appendicitis. The author concludes that tissue morphology alone may be misleading in rendering a pathologic diagnosis of Crohn disease, a type of IBD. 2 tables. 26 references.

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Use of Mesalazine in Diverticular Disease. Journal of Clinical Gastroenterology. 40(3): S155-S159. August 2006.

This article considers the use of mesalazine in diverticular disease, defined as a spectrum of conditions sharing the underlying pathology of acquire diverticula of the colon. This pathology can include symptomatic uncomplicated diverticular disease, recurrent symptomatic uncomplicated diverticular disease, and complicated diverticular disease. The authors stress that goals of therapy in diverticular disease should be to improve symptoms and to prevent recurrent attacks in symptomatic uncomplicated diverticular disease, and to prevent the complications of disease such as diverticulitis. Inflammation seems to play a key role in all forms of the disease; this is the reason for the use of anti-inflammatory drugs such as mesalazine. The authors note that the mechanisms of action of mesalazine are not yet well understood. Mesalazine is an anti-inflammatory drug that inhibits factors of the inflammatory cascade (such as cyclo-oxygenase) and free radicals, and has an intrinsic antioxidant effect. The authors conclude that some recent studies confirm the effectiveness of mesalazine in diverticular disease both in relief of symptoms in symptomatic uncomplicated forms and in prevention of recurrence of symptoms and main complications. 47 references.

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What Do We Know About Diverticular Disease?: A Brief Overview. Journal of Clinical Gastroenterology. 40(3): S108-S111. August 2006.

A diverticulum is a sac-like protrusion on the wall of the colon; thus, diverticulosis is the presence of diverticula. Diverticulitis is a condition where these diverticula are inflamed. This article provides an overview of diverticulosis and its complications, notably diverticulitis. The author stresses how common diverticulosis is and considers the lack of adequate fiber intake in the Western diet as a major factor in the development of diverticulosis. Diverticulitis may be complicated by abscess formation, fistula formation, peritonitis, or obstruction. The author supports the use of computed tomography scans to plan appropriate care for patients with Diverticulitis. Most cases of simple, uncomplicated diverticulitis respond to conservative therapy with bowel rest and antibiotics. The author describes some of the controversies that remain in the care of patients with diverticulitis, including the optimal timing of surgery. The article concludes with a brief review of recent research, including one area of research that considers the overlap of diverticulitis and inflammatory bowel disease (IBD), including the use of probiotics and mesalamine in diverticular disease. 38 references.

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Diverticular Disease: Diverticulosis and Diverticulitis. EndoNurse. 5(5): 38. October-November 2005.

Diverticular disease is a condition of the large intestine characterized by the growth of diverticula, small sacs or pouches that form in the wall of the large intestine. This continuing education article helps endoscopic nurses understand the diagnosis and management of diverticular disease, including diverticulosis and diverticulitis. The author notes that constipation and a low-fiber diet are the most likely causes of diverticulosis. When the pouches become infection or inflamed, the condition is called diverticulitis. The article reviews the symptoms of diverticulitis and its associated complications, including bleeding, infections, perforations or tears, blockages, or fistula. A final section discusses the use of dietary changes that may be useful treating diverticular disease. The article concludes with a brief glossary of terms.

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Diverticular Disease: How Fiber Can Help. Cincinnati, OH: Procter & Gamble Company. 2005. 8 p.

Diverticular disease is a common condition that consists of two types: diverticulosis, which is small pouches formed in the colon, or large intestine; and diverticulitis, which is inflammation of these pouches. This brochure describes diverticular disease and reviews the use of dietary fiber to prevent and treat these conditions. The brochure reviews the causes and symptoms of diverticular disease, diagnosis and treatment, the role of fiber in managing diverticular disease, daily fiber recommendations, easy ways to increase fiber, and the use of a fiber supplement. Readers are encouraged to eat more fiber and drink plenty of fluids, not to ignore the urge to have a bowel movement, and to exercise regularly, all efforts to prevent constipation, which plays a major role in the development of diverticular disease. One section shows a sample menu of increased-fiber foods; another chart offers a list of common foods and their fiber amount. The brochure is produced by the maker of Metamucil, a popular fiber supplement, and readers are encouraged to consider the use of Metamucil in their efforts to increase fiber intake. 5 figures. 2 tables.

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Diverticulosis and Diverticulitis. Bethesda, MD: National Digestive Diseases Information Clearinghouse. 2005. 6 p.

Many people have small pouches in their colons that bulge outward through weak spots (diverticula); the condition of having these pouches is called diverticulosis. When the pouches become infected or inflamed, the condition is called diverticulitis or diverticular disease and is characterized by pain and tenderness around the left side of the lower abdomen. This fact sheet describes diverticulosis and diverticulitis and their management. Topics include the symptoms and complications of diverticulitis (bleeding, abscess, perforation, peritonitis, fistula, and intestinal obstruction), the causes and diagnosis of diverticular disease, treatment options, the role of dietary fiber, and when surgery might be necessary to treat diverticular disease. Most people with diverticulosis never have any discomfort or symptoms. The most likely cause of diverticulosis is a low-fiber diet because it increases constipation and pressure inside the colon. For most people with diverticulosis, eating a high-fiber diet is the only treatment needed. Readers are encouraged to increase their fiber intake by eating whole grain breads and cereals, fruit, and vegetables. A final section describes the goals and work of the National Digestive Diseases Information Clearinghouse. 2 figures. 1 table.

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Gastrointestinal Conditions. Journal of the American College of Surgeons. 201(5): 940- 947. December 2005.

This article reports on new developments in surgery for gastrointestinal conditions, emphasizing new approaches to common diseases, and highlighting several common gastrointestinal diseases in which there is an emerging consensus. The author reviewed the major surgery journals for selection of articles about major advances in this area. Topics include hernia, small bowel obstruction, nasogastric decompression, bariatric surgery, gastroesophageal reflux disease, peptic ulcer disease, gastric cancer, hepatic (liver) resection, liver transplantation, portal hypertension, laparoscopic bile duct injuries, chronic pancreatitis, acute pancreatitis, hemorrhoids, preoperative bowel preparation, acute diverticulitis, and laparoscopic colectomy. In each area, the author briefly summarizes the main research studies of the past year. 44 references.

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Gastrointestinal Diseases in Patients with Chronic Kidney Disease. In: Clinical Dialysis. 4th ed. New York, NY: McGraw-Hill. 2005. pp. 677-690.

Gastrointestinal (GI) disorders are common in patients with chronic kidney disease (CKD) and encompass the full spectrum of diseases that affect the general population. This chapter on GI disease in patients with CKD is from a comprehensive textbook on the clinical management of patients on dialysis. The authors review common GI complaints that are often referred to gastroenterologists for further evaluation. These diseases merit special consideration in the patient with ESRD due to their increased incidence and severity. The authors organize their discussion based on clinical presentation and symptom complex, including nausea, vomiting, diarrhea, GI bleeding, and abdominal pain. Disorders discussed include metabolic imbalance, motility disorders, peptic ulcer disease, infection, and side effects of medications. Specific topics covered are gastroparesis, peptic ulcer disease, infection, bowel obstruction and infarction, acute and chronic diarrhea, diabetic enteropathy, upper and lower gastrointestinal bleeding, ischemic colitis, diverticular bleeding, small bowel bleeding, and abdominal pain. The authors conclude that diagnostic tests and treatment strategies are best formulated in conjunction with the radiologist, gastroenterologist, and surgeon. 6 figures. 5 tables. 106 references.

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Irritable Bowel Syndrome: Does it Cause Other Disease?. Digestive Health Matters. 14(1): 4-5. Spring 2005.

This article discusses the interplay between irritable bowel syndrome (IBS) and other diseases, including colon cancer, diverticular disease, inflammatory bowel disease, celiac disease, and other functional gastrointestinal disorders. The author notes the paradox that little is known about the cause of IBS, yet health providers are confident that it has no role in causing other intestinal diseases. The author addresses other intestinal diseases that may make it difficult to diagnose IBS (particularly in developing countries where there are many tropical gut infections), the connection of IBS and diseases outside the gut, and the role of psychological disorders and IBS. The author concludes with a brief discussion regarding the diagnosis of IBS and the importance of considering other diseases when making a diagnosis. 4 references.

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Small and Large Intestines. IN: Digestive Disorders 2005. Palm Coast, FL: Medletter Associated. pp 24-29. 2005.

This lengthy section on the small and large intestines is from a White Paper on digestive disorders, including conditions that affect the esophagus, stomach, gallbladder, bile ducts, small intestine, and large intestine. This chapter covers normal anatomy of the small and large intestines; the examination of the colon and rectum, including barium enema, sigmoidoscopy, colonoscopy, virtual colonoscopy, and capsule endoscopy; and the causes, symptoms, diagnosis, and treatment of constipation, diverticulosis and diverticulitis, diarrhea, celiac disease (gluten intolerance), Crohn's disease, ulcerative colitis, irritable bowel syndrome, hemorrhoids, anal fissure, and colorectal cancer. Numerous sidebars cover some topics in greater detail: research on the clinical utility of virtual colonoscopy, specific foods and a suggested menu for people on a clear liquid diet, strategies for living with lactose intolerance, understanding changes in color of the feces (stool), the interrelationship between appendectomy and the risk of ulcerative colitis, the grains that are safe for people on a gluten-free diet (for celiac disease), a drug used in Crohn's disease that may reverse or delay the formation of fistulas, travel tips for people with inflammatory bowel disease (IBD), the risks associated with eating red meat and drinking alcohol for people with colitis, the impact of depression on IBD flare-ups, quality of life issues in irritable bowel syndrome (IBS), coping with pruritus ani (anal itching), the risks of colorectal cancer associated with a high-glycemic diet (one that includes a lot of simple and complex sugars), how high doses of aspirin may fight colon polyps, a new anticancer drug (Avastin, bevacizumab) used for metastatic colorectal cancer, laparoscopic surgery for colon cancer, and how colon cancer is staged. One illustration outlines the parts of the lower digestive system and the diseases or conditions that can affect each part. One chart summarizes the drugs used for IBD.

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