![]() ![]() Acute lower gastrointestinal bleeding in 1,112 patients admitted to an urban emergency medical center. Gayer C, Chino A, Lucas C, Tokioka S, Yamasaki T, Edelman DA, Sugawa C. The role of colonoscopy and radiological procedures in the management of acute lower intestinal bleeding. Burden of gastrointestinal disease in the United States: 2012 update. Peery AF, Dellon ES, Lund J, Crockett SD, McGowan CE, Bulsiewicz WJ, Gangarosa LM, Thiny MT, Stizenberg K, Morgan DR, Ringel Y, Kim HP, DiBonaventura MD, Carroll CF, Allen JK, Cook SF, Sandler RS, Kappelman MD, Shaheen NJ. Burden of digestive diseases in the United States part II: lower gastrointestinal diseases. 1-10 By some estimates, up to 52 of radiology and laboratory tests produce incidental findings, 3,5,11-13 and these rates are likely to increase with gains in technology. The pathology of diverticulosis: classical concepts and mucosal changes in diverticula. Incidental findings on screening and diagnostic tests are common and may trigger cascades of further testing and treatment that are of uncertain value. Published by Baishideng Publishing Group Inc. Although most IFs prove to be benign, their discovery often leads to a cascade of testing that is costly, and exposes patients to unnecessary additional radiation.9 The most common reason to pursue incidental findings is to differentiate benign from potentially serious (including malignant) lesions.9 Additional imaging is often the next step in the evaluation of an unexpected IF. In addition, we offer practical tips for performing safe and successful colonoscopy in patients with dense diverticulosis coli.Īcute diverticulitis Colon stricture Diverticular bleeding. In particular, we discuss treatment options for diverticular bleeding, propose consideration of colonic stenting as a bridge to surgery in patients with diverticulitis-associated strictures, and the need for diagnostic colonoscopy following an episode of acute diverticulitis in order to rule out underlying conditions such as colonic malignancy or inflammatory bowel disease. In this editorial, we concisely delineate the current approach to and practices in colonoscopic management of diverticular disease. ![]() Colonoscopy is a vital tool in the diagnosis and management of diverticular disease and can be useful in a variety of regards. The term "diverticular disease" encompasses the range of clinical manifestations and complications that can occur with colonic diverticula, including diverticular bleeding, diverticulitis-associated strictures, and acute diverticulitis. Diverticula are the most common incidental finding during routine colonoscopy, and their prevalence increases with patient age. ![]()
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