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Tips What is Diverticulitis / phlegmon / abscess? Diverticulum is the muscle layer of colon herniation through the colon, and in the formation of cystic colonic wall bulging. When inflammation or infection called diverticulitis diverticulitis. Small abscess formation or rupture can be symptoms. Diverticulitis, the most likely to occur in the sigmoid colon and colon at the end.
Diverticulitis is not a contagious disease, nor is it malignant disease.
Colonic herniation of the cause is unknown. About 50% of people have at some time in his life experienced diverticular disease. Annual incidence of approximately 3000/100000 people. More young people than old hair. Low-fiber diet of people susceptible to diverticular disease.
The disease is a lifelong problem. Infection and bleeding make the disease becomes complicated. Diverticulitis / phlegmon / abscess What performance? Usually asymptomatic. About 10% to 20% of the individual condition is not very obvious. Showed only the left side of abdominal cramps, bowel movements to relieve cramps or through the exhaust. In addition, may have constipation. How to Treat Diverticulitis / phlegmon / abscess? Unless there are symptoms, or no treatment. If you have symptoms, changes in diet and softeners to relieve symptoms of constipation. Note the patient? • high fiber, low salt, low fat diet.
• multi-fluid food.
• appropriate physical activity.
• maintain an appropriate weight, overweight, weight loss should be as much as possible.
• maintain proper bowel habits, daily schedule at least once.
• Note whether there is blood in the stool, tarry stools are ranked.
• Note whether there are signs of diverticulitis and other complications such as abdominal pain and fever.
• Do not force the exhaust and excessive defecation.
• Avoid using laxatives. When should treatment? • If there is blood in the stool.
• If there is progressive increase of abdominal pain.
• If you have a fever accompanied by abdominal pain increased.
When you suddenly unbearable abdominal cramps, bloating, nausea and even blood in the stool, you may be suffering from diverticulitis. Disease is easily confused with appendicitis, you can not effect.
Diverticular disease and diverticulitis
Wall tube into the gastrointestinal tract mucosa, muscle layer, serosa layers. For some reason, three pouch-like form with protruding (local cystic bulge), or the innermost layer of mucous membrane through the relaxation of the muscles and prominent pouch-like formation, gastrointestinal cavity of a depression in corresponding bound, called diverticula. Multiple diverticula is called diverticulosis exist. Of the disease found in the whole digestive tract, the colon is the most common, followed by the duodenum
Cavity pressure increased gastrointestinal diverticula formation is the main reason. Chamber pressure may be related to food composition of insoluble fiber (vegetables) to reduce related. In addition, inflammation of tissue around the gastrointestinal tract is also a reason for the formation of diverticula.
Most of the diverticulum and the patient has no symptoms, so often overlooked.
Diverticulitis refers to diverticulitis accompanied by inflammation and infection. When the residue falling into the diverticulum can not be discharged in the stool, it will cause infection in which inflammation, suppuration, causing diverticulitis. Pus is also difficult to discharge to the formation of abscesses, the infection will spread further into a variety of complications.
Symptoms of diverticulitis
An early manifestation of acute diverticulitis, mostly fever, abdominal pain, bloating, nausea, vomiting, blood in the stool and voiding disorders, patients with sigmoid diverticulitis, stomach pain left lower abdomen feeling, like appendicitis, it is also known as "the left side of appendicitis."
The performance of chronic diverticulitis is stomach pain or mild pain, recurrent, and the performance of intractable constipation, less effective drugs, and because of repeated infections, can also lead to complete obstruction or narrowing of the intestine, often Array Fat spastic abdominal pain, enlargement of the lesion but also by the palpable thickening of the bowel.
It is estimated that about 10% of people have diverticulosis, diverticular disease increased gradually in recent years, about 10% to 20% of patients from the development of diverticular disease diverticulitis. Although more common in the elderly diverticulitis, but the younger patients, many tend to have more complications.
Diverticulitis can cause inflammation around diverticula, bowel wall phlegmon, perforation, abscess or peritonitis, intestinal obstruction and fistula formation and bleeding complications.
Diverticulitis is also easy with acute appendicitis, colon cancer, ovarian cancer and other diseases confused.
Prevention and treatment of diverticulitis
Suffering from diverticulitis, should be sent to hospital for treatment, if there is a serious complication, should prompt surgical excision.
Prevention of diverticulitis and complications, should pay attention to do the following:
1. For a full barium meal examination or colonoscopy, early to know whether the gastrointestinal tract diverticulum, if diverticulum, its size, number, shape and location how.
2. Increase the fiber in food ingredients. Most important fiber-rich foods containing oats; followed by a bran (including with bran biscuits, bread), corn, fruit (kiwi, banana, etc.), vegetables celery, lettuce, Sargassum, etc.; kelp, wood Haier laxative effect of good food.
3. Treatment of constipation, keep the stool moving: diet is not effective when used alone, may be appropriate to use some volume of laxatives (such as magnesium sulfate, sodium sulfate), lubricating laxatives (such as paraffin oil, glycerol), and gastrointestinal drugs (such as cisapride, etc.).
4. Active treatment can form adhesions diverticular disease occurs, such as mediastinal inflammation or tuberculosis (can cause esophageal diverticulum), inflammatory peritonitis, tuberculous peritonitis, pelvic inflammatory disease (diverticula can cause large intestine), post-operative adhesions (large intestine can cause diverticulum) and so on.
5. Overweight or obese, weight loss benefit of preventing the generation of diverticula.
Home> Academic> Modern Biomedicine> 2007 12> multislice spiral CT in the diagnosis of acute appendicitis in children
Spiral CT in the diagnosis of acute appendicitis in children Application of Multi-slice Spiral CT in the Diagnosis of Infant Acute Appendicitis
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Objective: To evaluate spiral CT diagnosis of acute appendicitis in children. Methods: Retrospective analysis of clinical surgery by 53 patients with pathologically confirmed acute appendicitis CT performance characteristics. All patients underwent multi-slice CT scan cross-section and MPVR reconstruction. Results: 53 cases, 2 cases of simple appendicitis; acute appendicitis with purulent inflammation around the 4 cases, 1 with purpura; acute suppurative appendicitis with perforation of 33 cases, of which 1 with ileal Meckel diverticulum; gangrenous 6 cases of appendicitis with perforation: 8 cases of appendiceal abscess. CT scan and reconstruction shows MPVR swollen appendix, thickening (diameter greater than 6mm) 30 cases of bezoars in the appendix in 27 cases, 23 cases of cellulitis around the appendix, periappendiceal abscesses in 8 cases, 6 cases of massive ascites. Conclusion: Spiral CT scanning and reconstruction techniques for the diagnosis of appendicitis in children provide a strong basis to improve the preoperative clinical diagnosis. of: Tang Wenwei Hansu Fang Yi Jun Zhao Meng Lu Rugang peak TANG Wen-weiHAN Su-fangLU Ru-gangYI JunZHAO MengGAO Feng Author: Tang Wenwei, Hansu Fang, Zhao Meng, peak, TANG Wen-wei, HAN Su-fang, ZHAO Meng, GAO Feng (Nanjing Medical University, Nanjing Children's Hospital Department of Radiology, Nanjing, 210008, China )
Luru Gang, Yi Jun, LU Ru-gang, YI Jun (Nanjing Medical University, Nanjing Children's Hospital Department of General Surgery, Nanjing, 210008, China) Title: Modern Biomedicine ISTIC English title: PROGRESS IN MODERN BIOMEDICINE, the volume (of): 20077 (12) Key words: R574.61 Key words: appendicitis, body X-ray computed tomography diagnostic machine marked DOI: R81 R73 machine standard Key words: diagnosis of acute appendicitis spiral Application Acute AppendicitisDiagnosis of acute suppurative appendicitis reconstruction appendix abscess preoperative diagnosis of Meckel's diverticulum scan cross-section of clinical surgery massive ascites perforated appendix abscess cellulitis performance features of pathologically confirmed gangrenous Fund Project: DOI: References (9) LESSIN MS.CHAN M. CATALLOZZI MSelectiv
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