Presentation on theme: "Diverticular disease of the colon Presented by J. Karl Pineda."— Presentation transcript:
Diverticular disease of the colon Presented by J. Karl Pineda
Pathophysiology Diverticular disease may involve any part of the GI tract. Typically acquired, diverticular disease may be congenital, such as Meckel iliac diverticulum (although this is rare). Diverticula are herniations of the mucosa and submucosa or the entire wall thickness through the muscularis, as seen in congenital diverticula. The sigmoid is the most commonly affected (95-98%)
Pathophysiology Diverticular disease also can involve the descending, ascending, and transverse colon as well as the jejunum, ileum, and duodenum The penetration of fecal matter through the thin-walled diverticula causes inflamation and abscess formation in the tissue surrounding the colon.
Signs and Symptoms Constipation and diarrhea accompanied by pain in the lower-left quadrant Flatus, anorexia, and nausea Abdominal distention, low grade fever, vomiting, and blood in the stool
Interventions IV fluids and an NG tube for first few day post operatively if bowel activity has not retuned PT teaching Comfort measures and the assessment of pain Teach patient colonoscopy care when patient is free of pain
Prognosis Good with 30% of patients needing bowel resection of the affected part in acute case to reduce mortality and morbidity