Comprehensive Study of Diverticulitis: A Literature Review

Authors

  • Gede Rama Hardy Nugraha Faculty of Medicine, University of Mataram, Mataram, Indonesia.
  • Rizka Ayu Maulida Faculty of Medicine, University of Mataram, Mataram, Indonesia.
  • Rukmanggana Satya Pratiwi Faculty of Medicine, University of Mataram, Mataram, Indonesia.
  • Rima Cahyati Kusumadewi Faculty of Medicine, University of Mataram, Mataram, Indonesia.
  • Ovia Intan Ristia Faculty of Medicine, University of Mataram, Mataram, Indonesia.
  • I Gede Pande Devin Agastya Sastrawan Faculty of Medicine, University of Mataram, Mataram, Indonesia.
  • Lalu Habib Kallan El-Phasya Faculty of Medicine, University of Mataram, Mataram, Indonesia.
  • Yusra Pintaningrum Department of Cardiology and Vascular Medicine, West Nusa Tenggara General Hospital, Mataram, Indonesia

DOI:

https://doi.org/10.29303/jku.v12i4.981

Keywords:

Divertikulitis, Penyakit Divertikular, Nyeri Perut Akut Kiri Bawah, Divertikulum

Abstract

Abstrak: Divertikulitis merupakan penyakit divertikular simptomatik yang ditandai dengan terjadinya inflamasi pada divertikulum. Sampai saat ini, patofisiologi terjadinya divertikulitis belum diketahui secara pasti. Interaksi antar faktor seperti faktor genetik, struktur dan motilitas kolon, mikrobiota kolon, usia, dan diet diduga dapat berperan dalam terjadinya penyakit. Divertikulitis harus dipertimbangkan sebagai diagnosis banding dari nyeri perut akut tepatnya di bagian kiri bawah abdomen. Kriteria diagnosis pada kasus divertikulitis adalah ditemukannya inflamasi divertikula, penebalan dinding intestinal melebihi 3 atau 5 mm, dan peningkatan kontras medium absorbsi pada pemeriksaan CT Scan dan MRI. Adanya perforasi, obstruksi, fistulisasi, dan abses yang terdeteksi pada pemeriksaan gambaran radiologi apapun dapat menjadi tanda komplikasi divertikulitis. Prognosis pada pasien dengan divertikulitis bergantung pada usia, adanya penyakit penyerta, dan tingkat keparahan penyakit.

 

References

Elisei, W. and Tursi, A. (2018). The Pathophysiology of Colonic Diverticulosis: Inflammation versus Constipation? Inflammatory intestinal diseases, [online] 3(2), pp.55–60. doi:https://doi.org/10.1159/000489173.

Ellison, D. L. (2018). Acute diverticulitis management. Critical Care Nursing Clinics, 30(1), 67-74.

Feingold, D., Steele, S. R., Lee, S., Kaiser, A., Boushey, R., Buie, W. D., & Rafferty, J. F. (2014). Practice parameters for the treatment of sigmoid diverticulitis. Diseases of the Colon & Rectum, 57(3), 284-294.

Gargallo Puyuelo, C. J., Sopeña, F. and Lanas Arbeloa, A. (2015) ‘Colonic diverticular disease. Treatment and prevention’, Gastroenterologia y Hepatologia, 38(10), pp. 590–599. doi: 10.1016/j.gastrohep.2015.03.010.

Kruis, W., Germer, C. T., Böhm, S., Dumoulin, F. L., Frieling, T., Hampe, J., Keller, J., Kreis, M. E., Meining, A., Labenz, J., Lock, J. F., Ritz, J. P., Schreyer, A., & Leifeld, L. (2022). German guideline diverticular disease/diverticulitis: Part I: Methods, pathogenesis, epidemiology, clinical characteristics (definitions), natural course, diagnosis and classification. United European Gastroenterology Journal, 10(9), 923–939. https://doi.org/10.1002/ueg2.12309.

Lahner, E., Bellisario, C., Hassan, C., Zullo, A., Esposito, G., & Annibale, B. (2016). Probiotics in the treatment of diverticular disease. A systematic review. Journal of Gastrointestinal and Liver Diseases, 25(1), 79-86.

Nice Guidelines (2019) Diverticular disease: diagnosis and management, NICE.

Onur, M. R. et al. (2017) ‘Diverticulitis: a comprehensive review with usual and unusual complications’, Insights into Imaging, 8(1), pp. 19–27. doi: 10.1007/s13244-016-0532-3.

Peery, A. F., Shaukat, A., & Strate, L. L. (2021). AGA Clinical Practice Update on Medical Management of Colonic Diverticulitis: Expert Review Anne. Cancer Cell, 160(3), 1–11. https://doi.org/10.1053/j.gastro.2020.09.059.AGA

Raskin, J. B., Kamm, M. A., Jamal, M. M., Márquez, J., Melzer, E., Schoen, R. E., ... & Streck, P. (2014). Mesalamine did not prevent recurrent diverticulitis in phase 3 controlled trials. Gastroenterology, 147(4), 793-802.

Razik, R., Chong, C. A., & Nguyen, G. C. (2013). Younger age and prognosis in diverticulitis: A nationwide retrospective cohort study. Canadian Journal of Gastroenterology, 27(2), 95–98. https://doi.org/10.1155/2013/341501

Rezapour, M., Ali, S. and Stollman, N. (2018) ‘Diverticular disease: An update on pathogenesis and management’, Gut and Liver, 12(2), pp. 125–132. doi: 10.5009/gnl16552.

Stephen Inns, & Emmanuel, A. (2017). Gastroenterology and Hepatology. Wiley Blackwell.

Stollman, N., Smalley, W., Hirano, I. (2015). American Gastroenterological Association Institute guideline on the management of acute diverticulitis. Gastroenterology, 149(7), 1944-1949.

Strate, L. L. and Morris, A. M. (2019) ‘Epidemiology, Pathophysiology, and Treatment of Diverticulitis’, Gastroenterology, 156(5), pp. 1282-1298.e1. doi: 10.1053/j.gastro.2018.12.033.

Tursi, A., Papa, A. and Danese, S. (2015). Review article: the pathophysiology and medical management of diverticulosis and diverticular disease of the colon. Alimentary Pharmacology & Therapeutics, [online] 42(6), pp.664–684. doi:https://doi.org/10.1111/apt.13322.

van Dijk, S. T., Daniels, L., Nio, C. Y., Somers, I., van Geloven, A. A. W., & Boermeester, M. A. (2017). Predictive factors on CT imaging for progression of uncomplicated into complicated acute diverticulitis. International Journal of Colorectal Disease, 32(12), 1693–1698. https://doi.org/10.1007/s00384-017-2919-0

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Published

2023-12-31

How to Cite

Gede Rama Hardy Nugraha, Rizka Ayu Maulida, Rukmanggana Satya Pratiwi, Rima Cahyati Kusumadewi, Ovia Intan Ristia, I Gede Pande Devin Agastya Sastrawan, Lalu Habib Kallan El-Phasya, & Yusra Pintaningrum. (2023). Comprehensive Study of Diverticulitis: A Literature Review. Baphomet University : Situs Slot Online Gacor Terbaik Hari Ini Server Thailand Gampang Maxwin 2024, 12(4), 332–336. https://doi.org/10.29303/jku.v12i4.981

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