the pathophysiology of acute diverticulitis starts with how diverticulosis is acquired. It is believed that it may be caused by increased intraluminal pressure due to low fiber diet and chronic constipation, or connective tissue disorders like Marfan's Syndrome and Ehlers-Danlos Syndrome (Mills & Stappenbeck, 2013). These conditions can lead to herniation that ranges from five to ten millimeters on one or more of the colonic walls (Graham, 2016). Based on how many colonic walls are involved, diverticulosis is divided into two types. It is called true diverticulosis if the herniation involves the entire colonic wall, or false diverticulosis if it only involves submucosa and mucosa walls (Van Buren &…
Etiology & Incidence: In the US, the third most common gastrointestinal illness requiring hospitalization and the leading indication for elective colon resection is diverticulitis. Of the people who have diverticulosis, 4-15% of the patients will develop diverticulitis, and increasing with age. An older belief was diverticulitis was caused by an obstruction of the diverticula (fecaliths), current belief is it is related to pressure or inspissated particles in the lumen. Other things believed to…
Diverticulitis - A Big Name for a Treatable Colon Problem Diverticular disease is the term for complications that arise when small sacs or pouches form in the wall of the colon. Diverticulum is a single sac or pouch and diverticula are numerous sacs or pouches. Diverticula in the colon that does not create complications is called diverticulosis. However, diverticulosis can, and does, lead to a more serious complication called diverticulitis. Diverticulitis is a common problem in the United…
A diet lacking fiber would lead to more water absorption and smaller, harder, and dry stools. These stools sit in the colon longer and require more contraction to expel, leading to higher lumen pressure (Meiner, 2004). Usually the diverticula cause no symptoms. This condition of having asymptomatic pouches is called diverticulosis. However, when stool or undigested food is trapped in these small pouches and bacteria accumulate, it can lead to inflammation and a condition called diverticulitis.…
because I experienced how Ob/Peds clinical are, I am now sure that I wanted to become a med surgical nurse. This decision also makes me feel more anxiety toward the future examinations because I really want to complete my Nursing school and become the nurse that I wanted to be. But as always, once I step into the unit, I feel so happy to be there. I feel like I am going back to my home and ready to take care my patient because providing the best nursing care for my patient is the only priority…
Diverticulitis most commonly occurs in the sigmoid colon. It can be very painful. What happens is that when there is lack of bulk and volume of residues in the colon is small, the colon narrows and its contractions become more powerful (Marieb, Hoehn, 2013). This increases the pressure in the walls of the colon, causes the formation of diverticula. Diverticula are small herniation’s that are formed of mucosa through the colon wall. When the diverticula become inflamed, rupture may occur and…
It can happen anywhere in the colon but most commonly happens in the sigmoid colon because it is the smallest section and has the smallest lumen which leads to higher pressure. Low fiber diets are the main cause of diverticulitis because fiber helps increase the size and weight of the stool to soften it, so it can be expelled out of the body. When stools or undigested food is not broken down properly it causes increased pressure in the layers of the colon, bacteria to build up (in my patient…
from four peer reviewed articles about the importins of an abdominal CT scan for the diagnoses of diverticulitis. The paper goes into detail about the features of CT and its ability to accurately demonstrate the bowel wall as well as the surrounding soft tissues structures. It goes in to further detail in explaining the cause, symptoms, and preventative measure for diverticulitis. This paper also focuses on the possibility of other imaging modalities like MRI being able to diagnose…
Diverticulitis There are many people that have diverticulitis, but they don't know they have it until its too late. Why would someone worry about diverticulosis when it doesn't give you any symptoms? Diverticulosis is just the beginning of a serious life threat. It is in your large intestine, where diverticulitis starts to develop. You will be introduced to the different ways diverticulitis affects your wellbeing. Diverticulosis and Diverticulitis are a sickness that develops in the large…
Clinical Question: In adult patients with symptoms of diverticulitis, would IV antibiotics offer a more expedient resolution of symptoms when compared to oral antibiotics? Background: Diverticulitis is common in the United States with over 100,000 hospitalizations annually, and is most commonly found in the sigmoid and descending aspect of the colon. The most common symptom of diverticulitis is pain in the lower left quadrant and constipation. The exact cause of diverticulitis is unknown;…