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Monday, June 4, 2012
  Clinical Accuracy Spoken Here  

Diverticulitis Attributed to Low Fiber

Diverticulitis is mainly attributed to a combination of low fiber diet and aging.

The decrease in bulk and the narrowing cause increased segmentation and intraluminal pressure which may precipitate the formation of diverticula.

Segmentation occurs when smooth muscle contractions separate the colon into functionally distinct units. This process is exaggerated with low volume stools generating elevated colonic pressures.

In diverticulosis, studies spanning several decades have established that 75% to 80% of all individuals remain asymptomatic.

[Reference: GI Disorders, Module C, Diverticulitis Pathology]
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  Excellence in Case Mgmt  

No Cure for Crohn's Disease

Case managers recognize that there is no cure for Crohn's Disease. Therefore, CD patients require a high level of chronic care management and coaching.

Hallmarks of CD are:

  • Onset at early age
  • Pattern of remission and relapse
  • Restrictions on activities and participation

[Reference: GI Disorders, Module B, Crohn's Disease]
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  Improving Patient Care...  

IPAA Pouch Failure

About 8-10% of patients with IPAA (Ileal pouch anal anastomosis) will have pouch failure. Some patients will experience pouch dysfunction due to large size or efferent limb. Failure or dysfunction will require either:

  • Pouch salvage or
  • Removal of the pouch and conversion to a permanent ileostomy

IPAA salvage and/or reconstruction surgery has been shown capable of saving patients from pouch excision and permanent ileostomy.

[Reference: GI Disorders, Module A, Ulcerative Colitis]
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Tom RasmussenTom Rasmussen
Publisher
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Tom.Rasmussen@AthenaForum.com

 
 

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Cathy WrightCathy Wright, BSN, RN
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