Which of the following is true about diverticulosis
|A||High fiber containing diet is associated with increased incidence of diverticulosis|
|B||It is premalignant|
|C||In India> 20% of the population above the above of 40 years is affected by diverticulosis|
|D||Management is essentially conservative in diverticulosis|
a. It has been postulated that the decreased consumption of unprocessed cereals and the increased consumption of sugar and meat by the general population are factors largely responsible for the appearance of diverticulosis.
b. Diverticulitis is the result of a perforation of a colonic diverticulum.
c. The term is somewhat of a misnomer because the disease is actually an extraluminal pericolic infection caused by the extravasation of feces through the perforated diverticulum.
d. Peridiverticulitiswould actually be the term to more appropriately describe the infectious process.
e. The diagnosis of diverticulitis can often be presumed with a fair degree of reliability by a careful history and physical examination, and it is reasonable to begin treatment with antibiotics on this evidence alone.
f. However, if the diagnosis is in doubt, four diagnostic tests can be considered: computed tomography (CT) of the abdomen, magnetic resonance imaging (MRI), abdominal ultrasound, and water-soluble contrast enema. CT and MRI provide essentially the same information and advantages.
g. There has been more experience with CT, and this is considered by most surgeons to be the preferred test to confirm the suspected diagnosis of diverticulitis.
a. Stage I: pericolic or mesenteric abscess
b. Stage II: walled-off pelvic abscess
c. Stage III: generalized purulent peritonitis
d. Stage IV: generalized fecal peritonitis