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Related Experiment Videos

Imaging diverticular disease.

Steve Halligan1, Brian Saunders

  • 1Wolfson Unit for Endoscopy, St. Mark's Hospital, Watford Road, Northwick Park, Harrow, London HA1 3UJ, UK.

Best Practice & Research. Clinical Gastroenterology
|October 31, 2002
PubMed
Summary
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Barium enema is the best method for diagnosing colonic diverticular disease severity. Water-soluble contrast or CT scans are preferred for acute diverticulitis or perforation, while colonoscopy is useful for hemorrhage control.

Area of Science:

  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Colonic diverticular disease diagnosis and management.
  • Role of imaging in abdominal pain and altered gut function.

Purpose of the Study:

  • To review the diagnostic modalities for colonic diverticular disease.
  • To outline the appropriate use of imaging in acute and chronic scenarios.

Main Methods:

  • Review of current literature on barium enema, water-soluble contrast studies, ultrasound, computed tomography (CT), and colonoscopy for diverticular disease.
  • Discussion of the advantages and limitations of each modality in different clinical contexts.

Main Results:

  • Barium enema is the gold standard for assessing diverticular disease extent and severity.

Related Experiment Videos

  • Water-soluble contrast or CT are preferred in acute diverticulitis or suspected perforation.
  • CT is valuable for complicated diverticular disease.
  • Colonoscopy can be complicated by diverticular disease but is useful for acute hemorrhage control.

    • Conclusions:

    • The choice of imaging modality depends on the clinical presentation of diverticular disease.
    • Barium studies are essential for chronic disease assessment.
    • Cross-sectional imaging and water-soluble contrast are crucial for acute conditions.
    • Colonoscopy has specific indications in diverticular disease, particularly hemorrhage.