Pathophysiological and therapeutic update of colonic diverticula
Keywords:
Colonoscopy, Colon diverticulitis, Diverticulum, Crohn's disease, Risk factor's, PathophysiologyAbstract
Introduction: diverticula, also described as bags or sacculations, correspond to the most frequent anatomical alteration that compromises the large intestine, specifically in the descending and sigmoid colon. It is among the main causes of digestive complications presented in emergency services, especially in elderly patients.
Objective: to characterize colonic diverticula pathophysiologically.
Methodological Design: 80 articles were identified, of which 44 were included, being more than 75% from the last 3 years; from academic search engines such as PubMed, MedLine, Ovid, ResearchGate and Google Scholar.
Development: diverticular disease of the colon affects patients of both sexes, with a mean age of over 60 years. Pathophysiologically it is characterized as a herniation of the mucosa and submucosa. Various authors have classified it according to different clinical aspects. Radiological and endoscopic studies are the primary sources for its diagnosis. As main risk factors are; smoking, obesity, sedentary lifestyle and diet with high content of animal fat. Antibiotic therapy and surgery are among the main methods for its treatment.
Conclusions: diverticular disease has a high incidence in the general population, representing a health problem in elderly patients who have multiple risk factors for developing complications. Its diagnosis is based fundamentally on radiological and endoscopic studies. Treatment based on clinical improvement is completed with outpatient antibiotic therapy.
Downloads
References
Yáñez E, Maturana J, Briones L. Enfermedad diverticular: nuevas perspectivas en el tratamiento dieto-terapéutico. Revista chilena de nutrición [Internet]. 2019 [citado 11 marzo 2022];(46). Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182019000500585&lang=es
Wasvary H, Turfah F, Kadro O, Beauregard W. Same hospitalization resection for acute diverticulitis. Am Surg. 1999;65(07):632–635, discussion 636
Kaiser A M, Jiang J K, Lake J P, Ault G, Artinyan A, Gonzalez-Ruiz C, et al. The management of complicated diverticulitis and the role of computed tomography. AmJGastroenterol.2005;100(04):910–917
Downloads
Published
How to Cite
Issue
Section
License
Those authors who have publications with this journal accept the following terms: The authors will retain their copyright and guarantee the journal the right of first publication of their work, which will be simultaneously subject to the Recognition License. Creative Commons that allows third parties to share the work as long as its author and its first publication in this magazine are indicated. Authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a monographic volume) as long as the initial publication in this journal is indicated. Authors are allowed and recommended to disseminate their work through the Internet (e.g.: in institutional telematic archives or on your website) before and during the submission process, which can produce interesting exchanges and increase citations of the published work.
