Diverticular disease refers to the bulging pouches that can form in the gastrointestinal wall. These pouches, called diverticula, are most commonly found in the sigmoid colon. Diverticular disease exists in two forms: diverticulosis, which are non-inflamed pouches, and diverticulitis, which is inflammation of the pouches. Increased pressure within the colon from constipation or a low-fiber diet can cause weaknesses where diverticula form. While diverticulosis often causes no symptoms, diverticulitis can cause left lower abdominal pain, alternating constipation and diarrhea, and difficult bowel movements. Mild diverticular disease can be managed through a high-fiber diet and preventing constipation.

1. Presented by:
Akshay Wankhede
Tutor, Gcon

2.  Diverticular disease refer is the bulging
pouch like herniations ( diverticula) in
the GI wall push the mucosal lining
through the surrounding muscle.The
most common site for diverticula is the
sigmoid colon, but they may develop
anywhere, from the proximal end of the
pharynx to the anus.

3. Other typical sites are the
duodenum near the pancreatic
borderor the ampulla of vater
and the jejunum.

4.  Diverticular disease has two
clinical forms, DIVERTICULOSIS
and DIVERTICULITIS
 Diverticulosis is the presence of
non inflamed diverticula.
 Diverculitis is the inflammation
of the diverticulum.

5. Causes
 Caused by increased pressure within the
lumen of the colon. Increased intra-
colonic pressure secondary to
constipation may lead to weaknesses in
the colon walls giving way to diverticula
 colonic spasm which increases pressure,
which may be due to dehydration or
low-fiber diet

6. Signs and symptoms
Diverticulosis is usually asymptomatic
but may cause the following symptoms:
 Recurrent left lower abdominal
quadrant pain relieved by defacation or
passage of flatus.
 Alternating constipation and diarrhea
 Difficult defacation

7. Medical management
 Asymptomatic diverticular disease
requires no specific therapy other
than diet modification. Mild disease
can be treated by adherence to a
high fiber diet and prevention of
constipation with bran and bulk
laxatives.