{"title":"Colonoscopy after Diverticulitis","authors":"Jérémy Meyer, F. Ris","doi":"10.5772/intechopen.99921","DOIUrl":"https://doi.org/10.5772/intechopen.99921","url":null,"abstract":"Patients suffering from diverticulitis are at increased risk for colorectal cancer and should undergo colonoscopy to rule out colorectal cancer. The prevalence of colorectal cancer in this population was estimated to range between 1.9 and 2.3%. This prevalence is higher in patients with complicated diverticulitis (abscess, perforation) and ranges between 6.1% and 7.9%. Therefore, interval colonoscopy is strongly recommended after an episode of complicated diverticulitis. The prevalence of colorectal cancer is lower in patients with uncomplicated diverticulitis and approaches the prevalence from screened populations. In patients with uncomplicated diverticulitis, the indication for colonoscopy is still a matter of debate and should be done on a case-by-case basis.","PeriodicalId":303595,"journal":{"name":"Diverticular Disease Of The Colon – Recent Knowledge Of Physiopathology, Endoscopic Approaches, Clinical And Surgical Treatments [Working Title]","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126052201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Use of Antibiotics in Diverticulitis: An Update in Non-operative Management","authors":"M. Morales-Cruz, Paulina Moctezuma Velázquez","doi":"10.5772/intechopen.100578","DOIUrl":"https://doi.org/10.5772/intechopen.100578","url":null,"abstract":"Diverticulosis is a common disease among Western and developed nations. Approximately 20% of patients with diverticulosis will become symptomatic. Acute diverticulitis is a common manifestation of diverticular disease. Different classifications exist to try to categorize it but, it is generally considered as complicated or uncomplicated. Eighty-five percent of patients with an acute onset of diverticulitis will have an uncomplicated presentation. The best way to assess the degree and severity of the disease is a CT scan along with some biochemical parameters like CRP. Recent guidelines from associations all over the world accept non-antibiotic therapy as a valid strategy of treatment for the non-complicated diverticulitis. Antibiotics are still compulsory in immune-compromised patients, the elderly, those with comorbidities, and those with signs of sepsis. Recommendations should be made on a case-by-case basis.","PeriodicalId":303595,"journal":{"name":"Diverticular Disease Of The Colon – Recent Knowledge Of Physiopathology, Endoscopic Approaches, Clinical And Surgical Treatments [Working Title]","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127652206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luciano Dias de Oliveira Reis, Marcos Ricardo da Silva Rodrigues, Celso Augusto Milani Cardoso Filho, Cassiana Franco Dias dos Reis, Alex Antônio de Paula Costa
{"title":"Inflammatory Complication of Diverticular Disease","authors":"Luciano Dias de Oliveira Reis, Marcos Ricardo da Silva Rodrigues, Celso Augusto Milani Cardoso Filho, Cassiana Franco Dias dos Reis, Alex Antônio de Paula Costa","doi":"10.5772/intechopen.100460","DOIUrl":"https://doi.org/10.5772/intechopen.100460","url":null,"abstract":"Diverticular disease is the most common morphological abnormality of the colon. It is increasing in prevalence proportionally to progressive aging and modern alimentary diet. The majority of the diverticular disease affects the sigmoid colon and the segmental inflammatory process can have different outcomes, from self-limited, low-grade inflammation to severe cases evolving to complications such as abscess, fistulas to different organs, free perforation and peritonitis, sepsis, intestinal obstruction, and hemorrhage. In this chapter, we will focus on a few of these complications—focal low-grade inflammation, intra-abdominal abscess, and fistulas.","PeriodicalId":303595,"journal":{"name":"Diverticular Disease Of The Colon – Recent Knowledge Of Physiopathology, Endoscopic Approaches, Clinical And Surgical Treatments [Working Title]","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121216804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafael Luís Luporini, Marcel Domeniconi, Ana Carolina Parra, A. Rizzo, D. Freitas, S. Frizol, A. Tursi
{"title":"Segmental Colitis Associated with Diverticulosis","authors":"Rafael Luís Luporini, Marcel Domeniconi, Ana Carolina Parra, A. Rizzo, D. Freitas, S. Frizol, A. Tursi","doi":"10.5772/intechopen.100580","DOIUrl":"https://doi.org/10.5772/intechopen.100580","url":null,"abstract":"Segmental colitis associated with diverticulosis is a pathology of recent knowledge, whose pathogenesis is still poorly defined. Diagnosis is mainly based on colonoscopy and histopathological study. Clinical features are chronic diarrhea, abdominal cramps in the lower right quadrant, and intermittent hematochezia. The diagnosis is evidenced by colonoscopy showing inflammation in the colic mucosa between the diverticula, sparing the diverticular orifice associated with an anatomopathological condition showing chronic inflammation. The involvement is preferably sigmoid and may involve a descending colon, sparing the rectum. The treatment is similar to that of inflammatory bowel diseases in mild forms, but recent studies have presented new alternatives with good results. The treatment is not yet well defined, and antibiotics, mesalamine, and corticoid therapy can be used, and surgery can even be performed for refractory cases.","PeriodicalId":303595,"journal":{"name":"Diverticular Disease Of The Colon – Recent Knowledge Of Physiopathology, Endoscopic Approaches, Clinical And Surgical Treatments [Working Title]","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117010423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}