TITLE

Endoscopic findings of diverticular inflammation in colonoscopy patients without clinical acute diverticulitis: prevalence and endoscopic spectrum

AUTHOR(S)
Ghorai, Sujoy; Ulbright, Thomas M.; Rex, Douglas K.
PUB. DATE
April 2003
SOURCE
American Journal of Gastroenterology;Apr2003, Vol. 98 Issue 4, p802
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
: ObjectiveExperienced colonoscopists sometimes encounter endoscopic findings of diverticular inflammation in patients without clinical evidence of acute diverticulitis. Our aim was to describe the spectrum and prevalence of such endoscopic findings in a consecutive series of patients undergoing colonoscopy.: MethodsDuring elective colonoscopy performed by a single endoscopist on 2566 consecutive outpatients, 21 patients were identified with endoscopic evidence of diverticular inflammation.: ResultsEndoscopic findings included erythema and edema of a diverticular opening (n = 8), pus emanating from a diverticular orifice (n = 8), and a polypoid mass of granulation tissue in a diverticular orifice (n = 15). Follow-up was obtained by telephone in 17 patients at a mean of 11.9 months after colonoscopy. Only one patient had symptoms of diverticulitis at the time of colonoscopy. This patient improved with antibiotic therapy. Six of the 21 patients had experienced symptoms of abdominal pain or fever, but only one had a diagnosed episode of acute diverticulitis before colonoscopy. None of the patients had acute diverticulitis during the follow-up interval.: ConclusionsEndoscopic findings of diverticular inflammation were identified in about 0.8% of patients undergoing colonoscopy without clinical evidence of diverticulitis. Most patients are asymptomatic at the time of colonoscopy, and antibiotic therapy is generally unnecessary.
ACCESSION #
9658095

 

Related Articles

  • Colitis secondary to engraftment syndrome in a patient with autologous peripheral blood stem cell transplant. Alkhatib, Amer A.; Boynton, Kathleen K.; Badheeb, Ahmed M. // Digestive Diseases & Sciences;May2010, Vol. 55 Issue 5, p1500 

    The article presents a case study of a 55-year-old Caucasian woman who underwent autologous peripheral blood stem cell transplant with a history of multiple myeloma. It cites that the patient developed fever and diarrhea on day 8 posttransplant that turned bloody on day 14 posttransplant....

  • Arteriovenous malformation of the inferior mesenteric artery presenting as ischemic colitis. Noor, Muhammad; Cooper, Kyle; Lujan, Henry; Pena, Constantino // Vascular Medicine;Dec2016, Vol. 21 Issue 6, p555 

    The article presents a case study of a 61-year-old man with abdominal pain. Topics discusses include presence of extrinsic inflammatory tissue in sigmoid colon revealed through colonoscopy, an arteriovenous malformation (AVM) in inferior mesenteric artery found by computed tomography angiogram...

  • Retrospective analysis of missed advanced adenomas on surveillance colonoscopy. Shehadeh, Ihab; Rebala, Srilakshmi; Kumar, Rakesh; Markert, Ronald J.; Barde, Chris; Gopalswamy, N. // American Journal of Gastroenterology;May2002, Vol. 97 Issue 5, p1143 

    OBJECTIVE:Miss rates of large polyp/cancer during colonoscopy are reported from tertiary centers where experts do the colonoscopies. This information is important for determining surveillance intervals for repeat colonoscopy, patient safety, and malpractice issues. We evaluated...

  • What's Hot in the Red Journal This Month?  // American Journal of Gastroenterology;Jun2010, Vol. 105 Issue 6, p1217 

    An introduction to the journal is presented in which the editor discusses several articles including "Arbaclofen Placarbil Decreases Postprandial Reflux in Patients With Gastroesophageal Reflux Disease," "High-Definition Chromocolonoscopy vs. High-Definition White Light Colonoscopy for...

  • Continuing Medical Education Questions: July 2011. DeVault, Kenneth R.; Carey, Emily; Hanouneh, Ibrahim; Kane, Saul; Navaneethan, Udayakumar // American Journal of Gastroenterology;Jul2011, Vol. 106 Issue 7, p1207 

    A quiz concerning colonoscopy of elderly patients with colorectal cancer is presented.

  • TIREDNESS AND TELANGIECTASES.  // Pulse;7/23/2008, Vol. 68 Issue 25, p25 

    The article presents the case study of a 73-year-old lady who has been diagnosed with Osler-Weber-Rendu. The disease, also known as hereditary haemorrhagic telangiectasia (HHT), has been noticed to the patients who have the symptoms of pallor, telangiectases and tiredness. The diagnosis has been...

  • Instructional video improved colonoscopy preparation.  // Hem/Onc Today;12/10/2012, Vol. 13 Issue 23, p48 

    The article discusses research by Sateesh R. Prakash and colleagues at Southern Gastroenterology Specialists which examined colonoscopy preparation in patients who viewed a brief instructional video about the procedure.

  • Lead time bias in estimating survival outcomes. Facciorusso, Antonio; Ferrusquía, Jose; Muscatiello, Nicola // Gut;Mar2016, Vol. 65 Issue 3, p538 

    A letter to the editor is presented in response to the article "Population-Based Assessment of the Outcomes in Patients With Postcolonoscopy Colorectal Cancers," by A. Govindarajan et al. in the March 6, 2015 online issue.

  • Neuroendocrine Dysplasia Combined in a Tubular Adenoma of Rectum: A Case Report. So-Young Lee; Dae-Yong Hwang; Tae Sook Hwang; Wan-Seop Kim; So Dug Lim; Wook Youn Kim; Se-Hun Kim; Hye Seung Han // Korean Journal of Pathology;Oct2013, Vol. 47 Issue 5, p495 

    The article presents a case study of a 56-year-old female showing neuroendocrine dysplasia combined in a tubular adenoma in the rectum with no history of inflammatory bowel disease. Her colonoscopic examination shows a large circumferential mass at the rectum and that her gross examination...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics