GASTROENTEROLOGY ARTICLE OF THE WEEK
August 7, 2008
Sheth AA, Longo W, Floch MH. Diverticular disease and diverticulitis. Am J Gastroenterol 2008;103:1550-1556.
1. You diagnose diverticulosis during a screening colonoscopy. Your patient asks you what is the chance that he will develop complications from this asymptomatic condition. You should tell him:
a. <5%
b. 5%
c. 30%
d. 20%
e. 50%
2. Typical findings of SCAD (Segmental colitis associated with diverticula) include
a. presentation with abdominal pain and intermittent bleeding
b. endoscopic evidence of colitis including aphthous ulcers in the area of diverticulosis
c. rectum is spared
d. Biopsies are normal
e. non-response to ASA
f. progression to typical UC or Crohn’s in some
3. Mychosis refers to
a. fungal infection of the colon
b. a misspelling of myochosis
c. thickening of colonic folds, usually found in the sigmoid
d. hypertrophy of the muscularis propria of the colonic mucosa
True or False
4. Immune compromised patients with diverticulosis are more likely to develop diverticulitis than immune competent patients.
5. The most common type of fistula developing in complicated diverticulitis is enterocutaneous fistula.
6. Peridiverticular abscesses measuring >4cm should undergo percutaneous drainage
7. Aminosalicylate and/or probiotic therapy may play a role in the treatment of patients with chronic pain from diverticulosis.
8. Patients with >2 attacks of diverticulitis should undergo surgical resection of the sigmoid
9. Diverticulitis occurring before age 40 is more likely to be complicated