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{{Diverticulitis}}
{{Diverticulitis}}
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==Overview==
The [[prevalence]] of diverticulitis is 20,000 individuals at age 40 and 60,000 at age 60. The highest incidence is in patients between 18 to 44 years old. Men and women are equally affected by diverticulitis between 50-70, but men above 70 are more commonly affected than women. The [[prevalence]] of diverticulitis has increased in developed countries. In the United States, approximately 312,000 cases are admitted to the hospitals. In Japan, more cases of right side diverticulitis have been reported than cases of left side diverticulitis.


==Epidemiology and Demographics==
==Epidemiology and Demographics==
Diverticulitis most often affects middle-aged and elderly persons, though it can strike younger patients as well.<ref name="pmid17976749">{{cite journal |author=Cole CD, Wolfson AB |title=Case Series: Diverticulitis in the Young |journal=J Emerg Med |volume= |issue= |pages= |year=2007 |pmid=17976749 |doi=10.1016/j.jemermed.2007.02.022}}</ref>  [[Central obesity|Abdominal obesity]] may be associated with diverticulitis in younger patients, with some being as young as 20 years old.<ref name="titleDisease Of Older Adults Now Seen In Young, Obese Adults">{{cite web |url=http://www.sciencedaily.com/releases/2006/09/060923104630.htm |title=Disease Of Older Adults Now Seen In Young, Obese Adults |accessdate=2007-11-19 |format= |work=}}</ref>
In Western countries, diverticular disease most commonly involves the [[sigmoid colon]] - section 4 - (95% of patients). The prevalence of diverticular disease has increased from an estimated 10% in the 1920s to between 35 and 50% by the late 1960s. 65% of those currently 85 years of age and older can be expected to have some form of diverticular disease of the colon. Less than 5% of those aged 40 years and younger may also be affected by diverticular disease.
Left-sided diverticular disease (involving the sigmoid colon) is most common in the West, while right-sided diverticular disease is more prevalent in Asia and Africa. Among patients with diverticulosis, 10-25% patients will go on to develop diverticulitis within their lifetimes.


Peanuts and seeds may aggravate diverticulitis.<ref name="titleAvoid Certain Foods To Prevent Diverticulitis - Health News Story - KNSD | San Diego">{{cite web |url=http://www.nbcsandiego.com/health/4963158/detail.html |title=Avoid Certain Foods To Prevent Diverticulitis - Health News Story - KNSD | San Diego |accessdate=2007-11-19 |format= |work=}}</ref>
=== Prevalence ===
===Prevalence===
The [[prevalence]] of diverticulitis is 20,000 individuals at age 40 and 60,000 at age 60.
The prevalence of diverticulosis is age-dependent, increasing from less than 20 percent at age 40 to 60 percent by age 60. The mean age at admission for acute diverticulitis is 63 years.<ref name="pmid1109818">{{cite journal| author=Painter NS, Burkitt DP| title=Diverticular disease of the colon, a 20th century problem. | journal=Clin Gastroenterol | year= 1975 | volume= 4 | issue= 1 | pages= 3-21 | pmid=1109818 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1109818  }} </ref><ref name="pmid22062360">{{cite journal| author=Peery AF, Barrett PR, Park D, Rogers AJ, Galanko JA, Martin CF et al.| title=A high-fiber diet does not protect against asymptomatic diverticulosis. | journal=Gastroenterology | year= 2012 | volume= 142 | issue= 2 | pages= 266-72.e1 | pmid=22062360 | doi=10.1053/j.gastro.2011.10.035 | pmc=3724216 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22062360  }} </ref>
 
===Incidence====
The incidence of diverticulitis is increasing.The largest increase was in patients aged 18 to 44 years.<ref name="pmid19212172">{{cite journal| author=Etzioni DA, Mack TM, Beart RW, Kaiser AM| title=Diverticulitis in the United States: 1998-2005: changing patterns of disease and treatment. | journal=Ann Surg | year= 2009 | volume= 249 | issue= 2 | pages= 210-7 | pmid=19212172 | doi=10.1097/SLA.0b013e3181952888 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19212172  }} </ref>
 
===Case fatality rate===


===Age===
===Age===
The prevalence of diverticulitis increases with age.
*The [[prevalence]] of diverticulitis increases with age.
*The mean age at admission for acute diverticulitis is 63 years.<ref name="pmid22062360">{{cite journal| author=Peery AF, Barrett PR, Park D, Rogers AJ, Galanko JA, Martin CF et al.| title=A high-fiber diet does not protect against asymptomatic diverticulosis. | journal=Gastroenterology | year= 2012 | volume= 142 | issue= 2 | pages= 266-72.e1 | pmid=22062360 | doi=10.1053/j.gastro.2011.10.035 | pmc=3724216 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22062360  }} </ref>


===Gender===
===Gender===
*Men under 50 are more often affected by diverticulitis than women of the same age.
*Men and women aged 50-70 are equally affected by diverticulitis.<ref name="pmid1109820">{{cite journal| author=Parks TG| title=Natural history of diverticular disease of the colon. | journal=Clin Gastroenterol | year= 1975 | volume= 4 | issue= 1 | pages= 53-69 | pmid=1109820 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1109820  }} </ref>
*Men over 70 are more often affected by diverticulitis than women of the same age.<ref name="pmid6333217">{{cite journal| author=Rodkey GV, Welch CE| title=Changing patterns in the surgical treatment of diverticular disease. | journal=Ann Surg | year= 1984 | volume= 200 | issue= 4 | pages= 466-78 | pmid=6333217 | doi= | pmc=1250513 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6333217  }} </ref><ref name="pmid1416433">{{cite journal| author=Acosta JA, Grebenc ML, Doberneck RC, McCarthy JD, Fry DE| title=Colonic diverticular disease in patients 40 years old or younger. | journal=Am Surg | year= 1992 | volume= 58 | issue= 10 | pages= 605-7 | pmid=1416433 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1416433  }} </ref>


===Race===
===Race===
* There is no racial predilection for diverticulitis.


===Developed countries===
===Developed countries===
*The [[prevalence]] and [[incidence]] of diverticulitis have significantly increased in developed countries that consume a lot of Westernized food that is poor in [[fiber]].
*In the [[United States]], about 312,000 cases of diverticulitis are admitted to hospitals.
*In Japan, there has been an increase in the [[prevalence]] of right-sided [[diverticulosis]] similar to the increase in left-sided [[Diverticulum|diverticula]] in Westernized countries.<ref name="pmid6468190">{{cite journal| author=Sugihara K, Muto T, Morioka Y, Asano A, Yamamoto T| title=Diverticular disease of the colon in Japan. A review of 615 cases. | journal=Dis Colon Rectum | year= 1984 | volume= 27 | issue= 8 | pages= 531-7 | pmid=6468190 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6468190  }} </ref><ref name="pmid11052515">{{cite journal| author=Miura S, Kodaira S, Shatari T, Nishioka M, Hosoda Y, Hisa TK| title=Recent trends in diverticulosis of the right colon in Japan: retrospective review in a regional hospital. | journal=Dis Colon Rectum | year= 2000 | volume= 43 | issue= 10 | pages= 1383-9 | pmid=11052515 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11052515  }} </ref>


===Developing countries===
==References==
{{reflist|2}}


{{reflist|2}}
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==References==
{{Reflist|2}}


[[Category:Surgery]]
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[[Category:Needs overview]]
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[[Category:Emergency medicine]]
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[[Category:Up-To-Date]]
[[Category:Infectious disease]]

Latest revision as of 21:26, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

The prevalence of diverticulitis is 20,000 individuals at age 40 and 60,000 at age 60. The highest incidence is in patients between 18 to 44 years old. Men and women are equally affected by diverticulitis between 50-70, but men above 70 are more commonly affected than women. The prevalence of diverticulitis has increased in developed countries. In the United States, approximately 312,000 cases are admitted to the hospitals. In Japan, more cases of right side diverticulitis have been reported than cases of left side diverticulitis.

Epidemiology and Demographics

Prevalence

The prevalence of diverticulitis is 20,000 individuals at age 40 and 60,000 at age 60.

Age

  • The prevalence of diverticulitis increases with age.
  • The mean age at admission for acute diverticulitis is 63 years.[1]

Gender

  • Men under 50 are more often affected by diverticulitis than women of the same age.
  • Men and women aged 50-70 are equally affected by diverticulitis.[2]
  • Men over 70 are more often affected by diverticulitis than women of the same age.[3][4]

Race

  • There is no racial predilection for diverticulitis.

Developed countries

  • The prevalence and incidence of diverticulitis have significantly increased in developed countries that consume a lot of Westernized food that is poor in fiber.
  • In the United States, about 312,000 cases of diverticulitis are admitted to hospitals.
  • In Japan, there has been an increase in the prevalence of right-sided diverticulosis similar to the increase in left-sided diverticula in Westernized countries.[5][6]

References

  1. Peery AF, Barrett PR, Park D, Rogers AJ, Galanko JA, Martin CF; et al. (2012). "A high-fiber diet does not protect against asymptomatic diverticulosis". Gastroenterology. 142 (2): 266–72.e1. doi:10.1053/j.gastro.2011.10.035. PMC 3724216. PMID 22062360.
  2. Parks TG (1975). "Natural history of diverticular disease of the colon". Clin Gastroenterol. 4 (1): 53–69. PMID 1109820.
  3. Rodkey GV, Welch CE (1984). "Changing patterns in the surgical treatment of diverticular disease". Ann Surg. 200 (4): 466–78. PMC 1250513. PMID 6333217.
  4. Acosta JA, Grebenc ML, Doberneck RC, McCarthy JD, Fry DE (1992). "Colonic diverticular disease in patients 40 years old or younger". Am Surg. 58 (10): 605–7. PMID 1416433.
  5. Sugihara K, Muto T, Morioka Y, Asano A, Yamamoto T (1984). "Diverticular disease of the colon in Japan. A review of 615 cases". Dis Colon Rectum. 27 (8): 531–7. PMID 6468190.
  6. Miura S, Kodaira S, Shatari T, Nishioka M, Hosoda Y, Hisa TK (2000). "Recent trends in diverticulosis of the right colon in Japan: retrospective review in a regional hospital". Dis Colon Rectum. 43 (10): 1383–9. PMID 11052515.

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