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Related Concept Videos

Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Inflammatory Bowel Disease I: Introduction01:26

Inflammatory Bowel Disease I: Introduction

Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...

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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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Published on: July 12, 2018

[Small bowel diverticula - unknown disease].

J G Albert1, C Lübbert, A Surow

  • 1Medizinische Klinik 1, Klinikum der J. W. Goethe-Universität, Theodor-Stern-Kai, 760590 Frankfurt. joerg.albert@kgu.de

Zeitschrift Fur Gastroenterologie
|July 17, 2009
PubMed
Summary
This summary is machine-generated.

Small bowel diverticula, though common, are often underdiagnosed. Recent advancements in small bowel endoscopy improve diagnosis of complications like obstruction, bleeding, and bacterial overgrowth.

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Published on: July 12, 2018

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Area of Science:

  • Gastroenterology
  • Digestive Diseases
  • Surgical Pathology

Context:

  • Small bowel diverticula are frequently encountered but often overlooked in differential diagnoses for abdominal complaints.
  • The historical lack of focus on the small bowel has contributed to underdiagnosis until the advent of small bowel endoscopy.
  • Complications associated with jejunal and ileal diverticula include diverticulitis, abscess, obstruction, bleeding, and perforation.

Purpose:

  • To review the epidemiology, pathophysiology, and diagnostic modalities of small bowel diverticular disease.
  • To detail the diseases associated with primary acquired and congenital small bowel diverticula.
  • To provide an overview of the clinical implications and management of small bowel diverticula.

Summary:

  • Small intestinal bacterial overgrowth syndrome (SIBO) is a frequent complication of small bowel diverticula, manifesting as meteorism and malassimilation.
  • Meckel's diverticulum can cause bleeding in young adults, often necessitating resection, but incidental findings may not require intervention.
  • Juxtapapillary duodenal diverticula are linked to an increased risk of gallbladder and bile duct stones and may elevate complication rates during endoscopic biliary interventions.

Impact:

  • Improved diagnostic capabilities through small bowel endoscopy enhance the recognition and management of small bowel diverticular disease.
  • Understanding the associations between duodenal diverticula and biliary conditions can inform clinical practice and patient management.
  • This review consolidates current knowledge, aiding clinicians in diagnosing and treating a condition that may be underappreciated.