The Diverticula Of The Sigmoid Colon

diverticulitis. The patient has no diet regimen, which may be the likely cause of his

The name for these erosions is aphthous ulcers. These erosions, after a while, start to deepen and grow in diameter. Once they reach a certain size, they can be referred to as ulcers. These ulcers can cause scarring and they can also cause the bowel to become stiff and lose its elasticity. As Crohn’s worsens, the bowel becomes obstructed once the passageways narrow enough. This obstruction can cause a buildup of food that is still being digested, fluid and gas that comes from the stomach. This obstruction will then prevent all of those products from entering into the colon. This will cause severe abdominal cramps, nausea, vomiting, and even abdominal distention. If the ulcers located in the walls of the bowel become large or extreme enough, holes can form in the walls of the bowel. Once those holes are formed in the bowel, the bacteria normal to the bowel can then pass through those holes and spread to nearby organs and into the abdominal cavity causing what are called fistulas. These fistulas are like a channel/tunnel that is formed between the ulcer and the adjacent organ. Then when a fistula is created between the affected intestine and the bladder, it is called an enteric-vesicular fistula which can lead to UTI’s and feces being presented during urination. Next, when the fistula is formed between the intestine and skin, it is called an enteric-cutaneous fistula. What this fistula, pus and mucous exit the body through a painful opening found in the skin of the

The causes of diverticulitis are also thought to be due to internal pressure in the colon. It’s not completely understood what causes the diverticula to become inflamed and infected. The internal pressure of fecal matter in the diverticula can impair circulation; when circulation is reduced in the diverticula, the tissue can break down and sometimes the pouches can burst.

The inflammation in diverticulitis is believed to be the result of fecal material that gets trapped in a diverticulum. The resulting fecal stone, or fecalith, causes pressure and necrosis of the diverticulum. The inflammation progresses and perforates into the mucosa of the colon. A small perforation is easily treated with antibiotics. A large perforation may wall off and create an abscess which can erode into nearby structures such as the small bowel or bladder, anterior abdominal wall, and fecal peritonitis can occur. (textbook)

The Disease have always been cured through the hospital system, medication, however, recently it has begun a movement stated we should depend less on our medication. Base on statics publish for the center for disease as of 2012, about half of all adults—117 million people—had one or more chronic health conditions. One of four adults had two or more chronic health conditions. Among those disease diversities is one the disease. Diverticulitis is a disease when pouches form in the wall of the colon. If these pouches get inflamed or infected, it is called diverticulitis. Therefore, diverticula have always been a serious disease in the United States; thus there has been several of a reason for causing the disease. Research has dictated

"Diverticulitis is a condition in which diverticuli in the colon rupture. The rupture results in infection in the tissues that surround the colon” (MedicineNet, 2010, para.1). Or at least that’s what MedicineNet.com states that it is. Sometimes what we find on the Internet isn’t as reliable as what we may think. Doing research and finding correct and reliable information is very important in the nursing practice. There is so much information available at our fingertips, but finding accurate information is sometimes a challenge and can be detrimental to patient care if the information found is inaccurate. The purpose of this assignment is to evaluate the validity of three health websites.

Most individuals get well by arranging a better diet and the results of this treatment also prevent constipation and the formation of more diverticula. The components of the healthy diet includes fruit, vegetables and grains such as raw apples, peaches, pears, and tangerines, broccoli squash carrots and brussels sprouts, potatoes, baked beans, kidney beans, and lima beans, whole-wheat bread, brown rice, bran flake cereal, and oatmeal (Longstreth). Doctors often advise individuals with diverticulitis to bypass any food that is hard to digest such as: popcorn, corn and seeds, however there is no evidence to coincide with this statement (WebMD). In some cases, surgery is needed in order to correct or treat diverticulitis because the diet does not have the capability of curing it. Subsequently, surgery is the last option and the process involves cleaning the abdomen of bleeding hernias and the removal of infection. If the disease reoccurs a

Pathophysiology: Diverticulitis, is characterized by inflamed diverticuli and increased luminal pressures that cause erosion of the bowel wall and thus microscopic or macroscopic perforation into the peritoneum. A localized abscess develops when the

○ If there is pus or gastric fluids in your abdomen, the surgeon will check for an infection or a hole (perforation) in your digestive tract.

Approximately 15% of those with diverticular disease are symptomatic, and of that group 15% will develop significant complications such as perforation as stated in a paper titled Treatment of Perforated Diverticulitis with Generalized Peritonitis: Past, Present, and Future (Vermeulen, Lange 2010).

Because of this, operative rates for the younger patients were significantly higher than the older patients. Several studies show that the disease is more virulent in obese patients, but diverticula can also occur in those that are cachectic. Obesity rates increases with the rates of diver- ticula in the older patient. Several studies investigated the relationship of obesity and diverticular disease. In one study of 61 patients of all ages, those with complications were obese.

DS is a 57-year-old white female whit a history of diverticulitis who presents to the clinic for an evaluation of abdominal pain. She stated that she began experiencing left lower quadrant pain last night that worsened through the night and into this morning. The pain is described as dull, occasionally cramping, rated 7/10 in severity. The patient also stated that this pain is similar to previous episodes of diverticulitis. The patient stated that she took Gas-X this morning with little relief. She was able to move her bowels yesterday and this morning, both reportedly normal. The patient denied any fever, chills, chest pain, shortness of breath, nausea, vomiting, diarrhea, melena, hematochezia, or any other symptoms. At this time, there were

There is to date one retrospective review of laparoscopic assisted versus open enterolithotomy of gallstone ileus by Moberg et al. [29]. Both groups had a similar duration of operation (60 vs. 58 mins), similar median hospital stay (10 vs. 7 days), and similar complication rates (6 vs. 5). Only two laparoscopic procedures were converted to open surgery for technical reasons. There were no deaths in either group. In support of this is the publication of several recent case reports demonstrating the successful use of laparoscopic assisted surgery for gallstone management. [30-32] Sarli et al. [30] conducted successful laparoscopy assisted procedures on three patients over 80 with gallstone ileus. All procedures were accomplished in under an hour with no post- operative complaints at six months and no additional biliary surgery needed. Soto et al. [31] performed a laparoscopic assisted enterolithotomy in a 86 year old female and a laparoscopic disimpaction of the gallstone into the large bowel in a 76 year old male. The patients remained asymptomatic at 8 month and 4 month follow up, respectiveily. Montogomery et al. [32] described laparoscopic assisted enterolithotomy in two 76 year old females who remained asymptomatic at 4 month follow up. The overall morbidity rate for these laparoscopic assisted studies was low, especially in terms of major complications. Montgomery et al. [32] described one case of wound infection, Moberg et al. [29] described five patients with minor complications and one patient who developed acute myocardial infarction, and Soto et al. [31] reported one case of community-acquired

It is strictly advised to follow the procedure as detailed in the Gerson basics workshop to avoid misuse of coffee enemas which could potentially weaken the colon 's normal function, for they tend to extract large amount of potassium from the body. Minimal consumption of protein, fat foods, and ample amount of fresh fruit and vegetables can be adverse to the system; however, Charlotte Gerson makes a comparison of humans to elephants who are much larger mammals and survive on a plant based organic diet, for they make up for the missing nutrients with other plant supplements. It is believed that the glasses of fresh, raw carrot/apple, green-leaf juices, organic fruits, vegetables and whole grains can compensate for the missing elements and when taken together in the right balance as instructed by the Gerson practitioners. Consequently, it is strongly advised not to mix the Gerson diet with other diets as the balance could potentially be thrown off. In addition, the majority of fruits and vegetables on the Gerson diet are mainly positive on the alkalinity chart which adds to their effectiveness as cancer thrives in an acidic environment. The liquid form is preferred for the diet as it is a more efficient method to get the most nutrients into the system in comparison to a solid diet.

Sigmoidectomy is the removal of the sigmoid colon with the creation of an anastomosis or a stoma; in this case an anastomosis was performed. Risk involved with this surgical procedure is injury to the left ureter during mobilization of the sigmoid colon (Jaffe, Schmiesing and Golianu, 2014, p. 543). Colic resection has a high mortality and morbidity rates due to adhesions, paracolic abscesses, colon and mesocolon shortening and colic parietal thickening caused by diverticulitis (Giovanni, Emanuele, Roberto, Alberto, Emanuele, L., Alessia, Grancesco and Ettore, 2013). Enterocystoplasty may result to hypothermia, fever and bacteremia (Jaffe et al, 2014, p. 906). Blood and fluid requirements are minimal due to moderate blood loss (Jaffe et al,