Diverticular disease,including diverticulitis,is a common disease;it accounts for more than 165,000 annual admissions in the United States,1 with an incidence of 188/100,000 person-years,2 being the most common gastro...Diverticular disease,including diverticulitis,is a common disease;it accounts for more than 165,000 annual admissions in the United States,1 with an incidence of 188/100,000 person-years,2 being the most common gastrointestinal(GI)diagnosis in the United States hospitals.3 Diverticulitis is common in older adults,but recently an increase has been greatest in young adults.2 It commonly presents with acute/subacute abdominal pain in the left lower quadrant(LLQ),fever,change in bowel habits and nausea.However,none of these features are specific for diverticulitis,as clinical suspicion is only diagnostic in 41%of the patients.4,5 Multiple modifiable risk factors have been identified,including high body mass index,increased subcutaneous visceral fat,lack of physical activity and smoking.展开更多
文摘Diverticular disease,including diverticulitis,is a common disease;it accounts for more than 165,000 annual admissions in the United States,1 with an incidence of 188/100,000 person-years,2 being the most common gastrointestinal(GI)diagnosis in the United States hospitals.3 Diverticulitis is common in older adults,but recently an increase has been greatest in young adults.2 It commonly presents with acute/subacute abdominal pain in the left lower quadrant(LLQ),fever,change in bowel habits and nausea.However,none of these features are specific for diverticulitis,as clinical suspicion is only diagnostic in 41%of the patients.4,5 Multiple modifiable risk factors have been identified,including high body mass index,increased subcutaneous visceral fat,lack of physical activity and smoking.