Divertics and polyps: same symptoms for slightly (slightly) pathologies. The professor. Sergio Morini, an expert in Gastroenterology in Rome , illustrates the differences and how the diagnosis takes place
What are diverticies?
With age progression, you can create wall changes in the colon that alter its functionality. The pressure increase inside the lumen "pushes" the mucous outward forming diverticulas. Rarely before 40 years, they are found in 70% -80% of older people. In western countries almost always start in the left colon (sigma). In most cases, this process is completely asymptomatic ( diverticulitis ) but sometimes transient pain may occur in the left side of the abdomen. Seldom, diverticulas are inflamed causing prolonged pain and fever (diverticulitis) which, in turn, can complicate with perforation. Other complications are stenosis and bleeding. Sometimes you attribute diverticulitis to irritable bowel symptoms (abdominal pain associated with defecation, abnormal rhythm and shape, abdominal swelling, etc.).
What are polyps?
Adenomatous polyps are benign neoformations that are formed by a defect in regulating cell proliferation. In most cases they are small - less than one inches - and absolutely asymptomatic; however, they may increase further and show signs of malignancy: cells, that is, acquire the ability to infiltrate the wall deeply and penetrate into the blood vessels. In these cases surgery is required. The risk of bleeding is proportional to their size, location and typology.
Diverts and polyps can be correlated?
Being two frequent conditions in advanced age is debated whether their association is random or there is a link. The results of the studies are still controversial because genetic or environmental factors (nutrition, smoking, drugs, bacterial flora etc.) may have a different effect on the two pathologies in the various populations.
Diagnostic Colonoscopy: What Is It For?
Colonoscopy is a fundamental technique in the diagnosis of colon and temporal lameness. Symptoms such as diarrhea, bleeding, pain or constipation may reveal colitis, drug damage, diverticulosis, polyps, tumors, etc.) confirmed by biopsies. The latest tools also allow you to diagnose the nature of polyps by magnifying and electronic coloring.In colon cancer screening, colonoscopy allows not only early diagnosis of the tumor but also the removal of neoplastic polyps and has contributed significantly to the reduction of colon cancer. People at high risk (bleeding or modification of evacuation, familial or personal history of polyps or tumors, diagnosis of ulcerative colitis or old-time colon crown disease ) must undergo direct colonoscopy, which, if negative, will be repeated after 10 years (for chronic inflammatory colonies the intervals are shorter). Colonoscopy is also needed in people with standard, asymptomatic risk, in which the occult blood test in the stool is positive.
Operative colonoscopy: when is it recommended?
Operative colonoscopy allows the treatment of many pathologies that once required surgery: removal of polyps, stopping of bleeding, dilatation, insertion of prostheses to ensure intestinal transit, and so on. can be performed outpatient.
Editor: Valerio Bellio