Divertics and polyps: are they related?

Written by: Prof. Sergio Morini
Published:
Edited by: Top Doctors®

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

*Translated with Google translator. We apologize for any imperfection

By Prof. Sergio Morini
Gastroenterology

Prof. Sergio Morini is an expert in Gastroenterology and Digestive Endoscopy.
He was Primary of Gastroenterology and Digestive Endoscopy at the New Regina Margherita and San Giacomo Hospital in Rome until 2010 and was a consultant for the screening of Cancer Cancer of ASL RM A from 2010 to 2013. He has been formed at prestigious international centers and was a member of the Board of the Italian Society of Digestive Endoscopy for the implementation of guidelines on screening and surveillance of colon polyps. He is author of over 120 articles and over 100 communications published in national and international magazines. He has been Rapporteur at National and International Congresses. He was President of the Italian Association of Hospital Gastroenterologists.

He is currently an Adviser to the General Secretariat of the Presidency of the Republic and a Consultant to the Congregation for the Causes of Saints.

Your personal case is over thirty thousand diagnostic and operative endoscopy, including esophageal treatments (sclerosis and varicose veins, peptic stenosis, neoplastic and acalaxy dilatations, prosthesis and laser therapy); gastro-duodenal ulcers (hemorrhage treatment, polyposis removal, stenosis dilatation, insertion of duodenal prostheses, removal of foreign bodies) endoscopic interventions on bilio-pancreatic pathways (ampulectomy, sphinctomotomy, calculus extraction and biliary and pancreatic prosthesis, cystic drainage pancreatic) and the ileo-colon tract (polypectomy - beyond 5000 -, neoplastic, inflammatory, postoperative, haemorrhaging, foreign body extraction, etc.).

*Translated with Google translator. We apologize for any imperfection

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