Bahena-Aponte JA, Dávila DR, Visag CV, Avendaño R, Mancera AJ, Correa RJM

Language: Spanish
References: 12
Page: 211-214
PDF size: 60.32 Kb.

ABSTRACT

Objective: To know the risk factors and the commonest accompanying symptomatology for the development of complicated acute diverticulitis in a sample of Mexican population. Site: Médica Sur Clinical Hospital and Foundation, third level of attention. Design: Descriptive, retrospective, and transversal study, a series of cases. Statistical analysis: Central-tendency measurements, percentages as a review measurement for qualitative variables. Material and methods: Every patient having been diagnosed with complicated acute diverticulitis was studied during the period going from the years 2000 to 2004. Analyzed variables: age, gender, diet low in fiber, sedentary habits, diarrhea cases and their frequency, body mass index (BMI), abdominal pain, fever and digestive tract bleeding. Results: 187 cases were studied. The 59.35% of them were men, and the 40.65% were women. The age ranged between 50 and 60 years old. The main symptom was abdominal pain in the 87.70% of the cases, followed by fever in the 28.34% of them. Within the main risk factors, sedentary habits were outlined (77%) and a low fiber diet (34.22%). Conclusions: The diagnosis of complicated acute diverticulitis must be suspected among people being between 50 and 60 years old. And presenting abdominal pain, fever, and a background of sedentary life and a diet low in fiber.

REFERENCES

1. Telling WHM. Discussion on diverticulitis. Proc R Soc Med 1920; 13: 55-64.

2. Farrel RJ, Farell JJ, Morrin MM. Diverticular disease in the elderly. Gastroenterol Clin North Am 2001; 30: 475-96.

3. Colecchia A, Sandri L, Capodicasa S, Vestito A, Mazzella G, Staniscia T, et al. Diverticular disease of the colon: New perspectives in symptom development and treatment. World J Gastroenterol 2003; 9: 1385-9.

4. Sandler RS, Everhart JE, Donowitz M, Adams E, Cronin K, Goodman C, et al. The burden of selected digestive diseases in the United States. Gastroenterology 2002; 122: 1500-11.

5. West AB. NDSG. The pathology of diverticulitis. J Clin Gastroenterol 2008; 42: 1137-8.

6. Ko C. The natural history of diverticulitis: implications for elective surgery. J Gastrointest Surg 2008; 12: 1312-3.

7. Morris CR, Harvey IM, Stebbings WS, Speakman CT, Kennedy HJ, Hart AR. Epidemiology of perforated colonic diverticular disease. Postgrad Med J 2002; 78: 654-8.

8. Simpson J, Scholefield JH, Spiller RC. Pathogenesis of colonic diverticula. Br J Surg 2002; 89: 546-54.

9. Parra-Blanco A. Colonic diverticular disease: pathophysiology and clinical picture. Digestion 2006; 73 Suppl 1: 47-57.

10. Wong WD, Wexner SD, Lowry A, Vernava A 3rd, Burnstein M, Denstman F, et al. Practice parameters for the treatment of sigmoid diverticulitis: Supporting documentation. The standards task force. The American Society of Colon and Rectal Surgeons. Dis Colon Rectum 2000; 43: 290-7.

11. Jaffer U, Moin T. Perforated sigmoid diverticular disease: a management protocol. JSLS 2008; 12: 188-93.

12. Baker ME. Imaging and interventional techniques in acute left-sided diverticulitis. J Gastrointest Surg 2008; 12: 1314-7.