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General info about diverticulitis
- Diverticula: Sacular dilations or outpouchings of the of the intestinal mucosa (most common in sigmoid)
- Diverticulosis: Multiple non-inflammed diverticula
- Diverticulitis: Inflammation of diverticula resulting in perforation into the peritoneum
- Complications: Perforation, Abscess, Fistula, Bleeding, Obstruction
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Etiology of diverticulosis
- Incidence: <5% by age 40 65% by age 85
- Causes: inadequate dietary fiber
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SnSs/Diagnosis
- Diverticulosis
- Asymptomatic
- Abdominal pain
- Bloating
- Flatulence
- Change in bowel habits
- 15-25% develop acute
- diverticuitis
- Diverticulitis
- LLQ abdominal pain
- Fever Leukocytosis
- Palpable abdominal mass
- Diagnostics
- H/P
- CT w/ oral contrast
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Collaborative care of pt w/diverticulitis/osis
- Patient Teaching
- --Metamucil
- --High Fiber (30g), low fat, low red meat diet
- --Increase fluid intake
- --Exercise/Weight Reduction
- --Avoid activities that increase intraabdominal pressure
- Acute management of Diverticulitis
- Home: oral antibiotics and clear liquid diet
- Hospital:
- NPO
- Bed Rest
- IV fluids
- IV Antibiotics (Levaquin, Flagyl)
- Surgery (complications)
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