Diverticulitis risk factors

Jump to navigation Jump to search

Diverticulitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Diverticulitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Ultrasound

XRay

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Diverticulitis risk factors On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Diverticulitis risk factors

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Diverticulitis risk factors

CDC on Diverticulitis risk factors

Diverticulitis risk factors in the news

Blogs on Diverticulitis risk factors

Directions to Hospitals Treating Diverticulitis

Risk calculators and risk factors for Diverticulitis risk factors

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

Risk factors in the development of diverticulitis include advanced age, chronic constipation, connective tissue diseases (such as Marfan syndrome or Ehlers Danlos syndrome), low dietary fiber intake, high intake of fat and red meat, and obesity. There are risk factors for the disease recurrence as well. These factors include multiple diverticula, intraperitoneal abscess, family history of diverticulitis, and great portion of the colon involved in the disease.

Risk Factors

Risk factors of diverticulosis and diverticulitis

Risk factors in the development of diverticulosis and diverticulitis include the following:[1]

  • Advanced age
  • Chronic constipation
  • Smoking
  • Connective tissue disorders
  • Low fiber diet
  • The role of fiber in the development of diverticulitis remains unclear. Although classically low fiber diet has been associated with development of diverticulosis, results from newer studies are conflicting.[2] However, dietary fiber and a vegetarian diet may reduce the incidence of symptomatic diverticular disease by decreasing intestinal inflammation and altering the intestinal microbiota.[3][4]
  • High fiber and red meat diet
  • The risk of diverticulosis may be significantly increased with diets that are high in total fat or red meat compared with fat and red meat-rich diets.[3]
  • Obesity

Risk factors of diverticulitis recurrence

Recurrence of diverticulitis has been reported to occur in 20% of patients with previous episodes of diverticulitis.[5]Risk factors for diverticulitis include the following:[6][7]

  • Diverticulosis itself is a risk factor for recurrence
  • Multiple diverticula
  • Intraperitoneal diverticulitis
  • Presence of retroperitoneal abscesses increase the risk of disease diverticulitis.
  • Patients with family history of diverticulitis.
  • Patients who have a big portion of the infected colon.

References

  1. Strate LL, Liu YL, Aldoori WH, Syngal S, Giovannucci EL (2009). "Obesity increases the risks of diverticulitis and diverticular bleeding". Gastroenterology. 136 (1): 115–122.e1. doi:10.1053/j.gastro.2008.09.025. PMC 2643271. PMID 18996378.
  2. Peery AF, Sandler RS, Ahnen DJ, Galanko JA, Holm AN, Shaukat A, Mott LA, Barry EL, Fried DA, Baron JA (2013). "Constipation and a low-fiber diet are not associated with diverticulosis". Clin. Gastroenterol. Hepatol. 11 (12): 1622–7. doi:10.1016/j.cgh.2013.06.033. PMC 3840096. PMID 23891924.
  3. 3.0 3.1 Aldoori WH, Giovannucci EL, Rimm EB, Wing AL, Trichopoulos DV, Willett WC (1994). "A prospective study of diet and the risk of symptomatic diverticular disease in men". Am. J. Clin. Nutr. 60 (5): 757–64. PMID 7942584.
  4. Painter NS, Burkitt DP (1971). "Diverticular disease of the colon: a deficiency disease of Western civilization". Br Med J. 2 (5759): 450–4. PMC 1796198. PMID 4930390.
  5. Peery AF (2016). "Recent Advances in Diverticular Disease". Curr Gastroenterol Rep. 18 (7): 37. doi:10.1007/s11894-016-0513-1. PMID 27241190.
  6. Park HC, Kim BS, Lee K, Kim MJ, Lee BH (2014). "Risk factors for recurrence of right colonic uncomplicated diverticulitis after first attack". Int J Colorectal Dis. 29 (10): 1217–22. doi:10.1007/s00384-014-1941-8. PMID 24980689.
  7. Hall JF, Roberts PL, Ricciardi R, Read T, Scheirey C, Wald C; et al. (2011). "Long-term follow-up after an initial episode of diverticulitis: what are the predictors of recurrence?". Dis Colon Rectum. 54 (3): 283–8. doi:10.1007/DCR.0b013e3182028576. PMID 21304297.

Template:WH Template:WS