What is right-sided diverticulitis?
What is right-sided diverticulitis?
Right-sided diverticula may be solitary or numerous and can be found in the appendix, cecum, or throughout the ascending colon. When right-sided diverticula are solitary, they are usually congenital and true diverticula; when multiple, they are typically acquired and false diverticula.
How do you classify diverticulitis?
Classification
- stage 0: clinical: mild clinical diverticulitis.
- stage Ia: clinical: confined pericolic inflammation or phlegmon.
- stage Ib: clinical: pericolic or mesocolic abscess.
- stage II: clinical: pelvic, distant intra-abdominal or retroperitoneal abscess.
- stage III: clinical: generalized purulent peritonitis.
- stage IV:
What type of infection is diverticulitis?
The infection in diverticulitis results from normal colonic flora released into the peritoneal cavity through a colonic perforation. This is, therefore, a polymicrobial infection. The most common organisms cultured include anaerobes, such as Bacteroides fragilis, and gram negatives, such as Escherichia coli.
Can diverticulitis occur on right side?
Abdominal pain is the most common symptom of diverticulitis. It will mostly likely occur in the lower left side of your abdomen. But it can also develop in the right side of your abdomen.
Does diverticulitis cause pain on the right side?
The signs and symptoms of diverticulitis include: Pain, which may be constant and persist for several days. The lower left side of the abdomen is the usual site of the pain. Sometimes, however, the right side of the abdomen is more painful, especially in people of Asian descent.
What antibiotics are given for diverticulitis?
If antibiotics are given for uncomplicated diverticulitis, consider amoxicillin/clavulanic acid or an oral cephalosporin plus metronidazole if the patient can take oral therapy. If intravenous therapy is needed cefazolin, cefuroxime, or ceftriaxone, all plus metronidazole or ampicillin/sulbactam alone can be used.
What is a diverticular stricture?
The indications for surgery are more definite when a stricture or fistula forms as a result of diverticular disease. A stricture is a narrowing of the colon that may partially block passage of stool. In rare cases, the stricture may become so severe that it causes complete obstruction (blockage) of the bowel.
Can diverticulitis cause right sided back pain?
The most common symptoms of diverticulitis are abdominal pain and fever. The abdominal pain of diverticulitis is usually lower and/or left-sided abdominal pain. The pain is usually sharp and constant, and the pain may seem to travel, or radiate, to the leg, groin, back, and side.
What should I cook for someone with diverticulitis?
Examples of low-fiber foods include:
- Canned or cooked fruits without skin or seeds.
- Canned or cooked vegetables such as green beans, carrots and potatoes (without the skin)
- Eggs, fish and poultry.
- Refined white bread.
- Fruit and vegetable juice with no pulp.
- Low-fiber cereals.
- Milk, yogurt and cheese.
Is there a study on right sided diverticulitis?
The US appearance of right-sided diverticulitis is less well documented. This study focused on the demographic data, US appearances, and treatment outcomes of right-sided colonic diverticulitis based on the review of 14 patients. The study was conducted in a tertiary medical center in Taiwan. It has about 3000 beds in service.
What are the 2 groups of acute diverticulitis?
The WSES classification divides acute diverticulitis into 2 groups: uncomplicated and complicated. In the event of uncomplicated acute diverticulitis, the infection only involves the colon and does not extend to the peritoneum. In the event of complicated acute diverticulitis, the infectious process proceeds beyond the colon.
Is there a home treatment for diverticulitis?
Rueda JC, Jimenez A, Caro A, et al. Home treatment of uncomplicated acute diverticulitis. Int Surg 2012; 97:203. Biondo S, Golda T, Kreisler E, et al. Outpatient versus hospitalization management for uncomplicated diverticulitis: a prospective, multicenter randomized clinical trial (DIVER Trial).
How old do you have to be to get diverticulitis?
Recent evidence suggests that lifetime risk of developing acute left-sided colonic diverticulitis (ALCD) is about 4% among patients with diverticulosis [ 3 ], and data from Western populations suggest that up to one fifth of patients with acute diverticulitis are under 50 years of age [ 4, 5, 6 ].