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Related Concept Videos

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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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:
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Chronic Bowel Disorders: Introduction01:17

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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...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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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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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
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Multimodality Diagnosis of Mesenteric Ischemia
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Diagnosing and treating diverticular disease.

Muhammad Qutayba Almerie, John Simpson

    The Practitioner
    |November 24, 2015
    PubMed
    Summary

    Diverticular disease, characterized by symptomatic diverticula, differs from asymptomatic diverticulosis. Low fiber intake is a risk factor, with prevalence increasing with age. Management depends on symptom severity and red flag indicators.

    Area of Science:

    • Gastroenterology
    • Internal Medicine

    Background:

    • Diverticulosis involves asymptomatic diverticula, while diverticular disease presents with acute or chronic symptoms.
    • Chronic symptoms include abdominal pain and rectal bleeding; acute diverticulitis is acute inflammation.
    • Low dietary fiber intake is a risk factor, with UK prevalence rising sharply after age 40.

    Purpose of the Study:

    • To differentiate between diverticulosis and symptomatic diverticular disease.
    • To outline criteria for referral to secondary care for symptomatic diverticular disease.
    • To guide management of acute diverticulitis in primary versus secondary care.

    Main Methods:

    • Review of clinical presentation and diagnostic criteria for diverticular disease.
    • Analysis of referral indications for symptomatic cases.

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  • Assessment guidelines for acute diverticulitis based on pain and sepsis indicators.

    • Main Results:

    • Symptomatic diverticular disease requires referral if quality of life is affected, pain is uncontrolled, new symptoms arise, or red flag symptoms appear.
    • Red flag symptoms in patients with diverticulosis warrant urgent referral to exclude malignancy.
    • Uncomplicated acute diverticulitis with controlled pain and no sepsis may be managed in primary care.

    Conclusions:

    • Distinguishing between diverticulosis and diverticular disease is crucial for appropriate management.
    • Referral criteria for symptomatic diverticular disease focus on symptom severity, red flags, and potential malignancy.
    • Primary care management is appropriate for uncomplicated acute diverticulitis without systemic features.