In this case, surgery is required
Sep 13, 2024
After undergoing colonoscopy, Kim, in his 50s, was explained that there was a 'Gesil'. Diverticulum, which may be an unfamiliar word, refers to a hollow in the esophagus, stomach, small intestine, and large intestine. Treatment is not required when there are no symptoms and pain, but caution is needed because it may be 'diverticulitis' that causes inflammation if fever or abdominal pain occurs.
Gesil is particularly common in the large intestine among gastrointestinal tracts. When there are several diverticulums, it is called diverticulosis, and when pollutants such as feces and food enter the protruding pocket and cause inflammation, it is called diverticulitis. Rarely, perforation, bleeding, fistula, and intestinal obstruction can be combined.
When diverticulitis occurs, it complains of abdominal pain, changes in bowel habits, chills, and fever, and symptoms become severe depending on the degree of inflammation. Bleeding is uncommon, but it can be dangerous if a large amount of bleeding occurs. Diverticulum bleeding is known to account for about 40 to 55% of lower gastrointestinal bleeding. Diverticulum bleeding may naturally stop bleeding, but when bleeding in large quantities, emergency surgery is also required. Bleeding occurs primarily in the diverticulum of the right large intestine.
If diverticulum occurs even at a young age, complications that require surgical treatment in the early stages often occur. Diverticulitis is known to recur within at least five years, even if it is recovered by non-surgical treatment such as antibiotic treatment. If symptoms are severe or recurred repeatedly, if there is no effect on medical treatment, perforation, peritonitis, fistula, and large amount of bleeding appear, resection is performed selectively.
Koh Yoon-song, director of the abdominal center at Seran Hospital, explained, "There is no need for special treatment simply because there is a diverticulum in the large intestine without pain, and the stage that requires treatment is diverticulitis. When diverticulitis occurs, many patients are confused with appendicitis (acute appendicitis) because of the intensity and location of the pain."
Ko Yoon-song, director of the abdominal center, said "Dialectitis causes perforation, peritonitis, and sepsis, so it should be treated in time. If abdominal pain occurs, you must visit the hospital unconditionally for inpatient treatment, and if you have perforation, you must receive surgical treatment," he stressed.
Koh Yoon-song, director of the abdominal center, said "The frequency of diverticulum disease is increasing in the East due to the recent westernization and aging of diet. The more you enjoy foods with less fiber, such as meat, the higher the incidence of constipation and diverticulum, so you should eat fiber properly""Eating snacks for pleasure when you're not hungry is the worst for patients with diverticulum. This is because it is a major cause of intestinal gas generation. Therefore, you should refrain from eating food when you are not hungry."
Gesil is particularly common in the large intestine among gastrointestinal tracts. When there are several diverticulums, it is called diverticulosis, and when pollutants such as feces and food enter the protruding pocket and cause inflammation, it is called diverticulitis. Rarely, perforation, bleeding, fistula, and intestinal obstruction can be combined.
When diverticulitis occurs, it complains of abdominal pain, changes in bowel habits, chills, and fever, and symptoms become severe depending on the degree of inflammation. Bleeding is uncommon, but it can be dangerous if a large amount of bleeding occurs. Diverticulum bleeding is known to account for about 40 to 55% of lower gastrointestinal bleeding. Diverticulum bleeding may naturally stop bleeding, but when bleeding in large quantities, emergency surgery is also required. Bleeding occurs primarily in the diverticulum of the right large intestine.
If diverticulum occurs even at a young age, complications that require surgical treatment in the early stages often occur. Diverticulitis is known to recur within at least five years, even if it is recovered by non-surgical treatment such as antibiotic treatment. If symptoms are severe or recurred repeatedly, if there is no effect on medical treatment, perforation, peritonitis, fistula, and large amount of bleeding appear, resection is performed selectively.
Koh Yoon-song, director of the abdominal center at Seran Hospital, explained, "There is no need for special treatment simply because there is a diverticulum in the large intestine without pain, and the stage that requires treatment is diverticulitis. When diverticulitis occurs, many patients are confused with appendicitis (acute appendicitis) because of the intensity and location of the pain."
Ko Yoon-song, director of the abdominal center, said "Dialectitis causes perforation, peritonitis, and sepsis, so it should be treated in time. If abdominal pain occurs, you must visit the hospital unconditionally for inpatient treatment, and if you have perforation, you must receive surgical treatment," he stressed.
Koh Yoon-song, director of the abdominal center, said "The frequency of diverticulum disease is increasing in the East due to the recent westernization and aging of diet. The more you enjoy foods with less fiber, such as meat, the higher the incidence of constipation and diverticulum, so you should eat fiber properly""Eating snacks for pleasure when you're not hungry is the worst for patients with diverticulum. This is because it is a major cause of intestinal gas generation. Therefore, you should refrain from eating food when you are not hungry."
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