Diverticulose
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diverticulose is the formation, often asymptomatic, the small ones on the wall of colon.
Synopsis |
History
Epidemiology
diverticulose is observed at more than 30% of the subjects of more than 60 years and 50 % of more than 70 years, more often the women than the men.
Its localization is sigmoïdienne in 80% of the cases.
Physiopathology
A diet low in food fibres entraine formation of hard saddles, requiring strong irregular contractions of the colon. This pressure, exerted on the weak points of the mucous membrane, forms diverticula. It the same for the is constipés of it chronic ones.
The natural weakening of the muscles of the intestine with the age can also support the formation of diverticula.
Diagnosis
Functional signs
In general, this disease asymptomatic, and is discovered by chance, or its complications.
One can find however certain symptoms:
- and alternate
- Abdominal cramps
Clinical examination
There can be a greater sensitivity to the level of the area reached.
Complementary examinations
One detects the diverticulose with a baryté transit or a coloscopy.
Assumption of responsibility
Evolution and complications
The principal complication of the diverticulose is diverticulite or sigmoïdite.
Prevention
A mode rich in food fibres is generally to follow, to avoid the formation of new diverticula as well as to decrease possible gene caused by the diverticulose.
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