Lectures

Diverticular Disease

by Carlo Raj, MD
(1)

Questions about the lecture
My Notes
  • Required.
Save Cancel
    Learning Material 2
    • PDF
      Slides SmallAndLargeIntestineDiseases GastrointestinalPathology.pdf
    • PDF
      Download Lecture Overview
    Report mistake
    Transcript
    If that was angiodysplasia, and an extremely common cause of painless rectal bleeding, now we're going through the spectrum of diverticular disease. And you will know it and you should understand it exactly as to how I am telling you with diverticular disease. Let us begin. Diverticulum. Generically speaking means an outpouching. Whenever there is a weakness in the mucosa of that particular lumen, then with increase intraluminal pressure of that particular structure, you are then going to bring about or induce outpouching. Here, with diverticular disease, our focus will be in the colon. It is an acquired herniation of the mucosa and submucosa through the muscularis of the colon, which are the points of weakness. When inflamed, the diverticulum, which at first will be diverticulosis, and this diverticulum by the way is a false diverticulum because you are not moving through all layers of the mucosa and at some point, we will talk about how feces gets trapped in your diverticulum. Fecalith and the diverticulosis, when there's enough of these fecalith accumulating, imagine, feces, you have a river of feces passing through your colon. Do you see that? River feces. And then you have a diverticulum, why? Because you look like this, [Straining] Right? What happnned? Low fiber high fat diet. Years and years, and years of the ?western diet?. Low fiber, high fat diet. When you are sitting there on the toilet constipated as such that I just dramatically demonstrated, then you have outpouching. So that was my interpretation or impression of constipation and that outpouching then accumulates your feces and fecalith. Now these may then become infected. When it does so, you have now transitioned into diverticulitis. Your focus should be in itis, which is inflammation and the patient is going to present with fever. Most comma...

    About the Lecture

    The lecture Diverticular Disease by Carlo Raj, MD is from the course Small and Large Intestine Diseases.


    Included Quiz Questions

    1. Colonoscopy
    2. Double-contrast barium enema
    3. Abdominal ultrasound
    4. Abdominal plain X-ray
    5. Proctoscopic examination
    1. Diverticular disease
    2. Inflammatory bowel disease
    3. Ischemic bowel disease
    4. Colon cancer
    5. Irritable bowel syndrome
    1. Colon cancer
    2. Bleeding
    3. Fistula
    4. Abscess formation
    5. Perforation
    1. Low fiber and high-fat diet
    2. Smoked fish
    3. Lack of Vitamin C in diet
    4. Chronic alcoholism
    5. Use of artificial sweeteners in diet

    Author of lecture Diverticular Disease

     Carlo Raj, MD

    Carlo Raj, MD


    Customer reviews

    (1)
    5,0 of 5 stars
    5 Stars
    5
    4 Stars
    0
    3 Stars
    0
    2 Stars
    0
    1  Star
    0