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Colonoscopy findings


Sent to Health Experts February 22, 2006 3:01 p.m.

My husband had a colonoscopy and we were given a copy of the report. He had an appointment previously wtih a Cardio Vascular Thorasic Surgeon and the Surgeon found blockages in the IMA, SMA and Celiac arteries leading to the intestines. The surgeon said that he would not make a decision to do anything until a colonoscopy was done. Now, the report states under Assessment: Abnormal examination, see findings above. Above is a picture of the colon with a portion of it marked in red and beside this is a box with the following written in it. "DIVERTICULOSIS: Descending Colon to Sigmoid Colon. Comments: Moderate diverticular changes with punctate areas of submucosal hemorrhage, and ares of mucosal edema.

The Gastro physician said that he would send the report to the surgeon and let him do what he had to do from this point.

I would definitely like to know what the words in the box mean. Can anyone help me. Thanks greatly!!!!!

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Female , Age: 63

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Answer
February 22, 2006 3:35 p.m. (33 minutes and 45 seconds later)
REPLIED Check Mark

I worked for several years in the endoscopy suite where colonoscopies are performed.

Most people have in their colons small pouches that bulge outward through weak spots, like an inner tube that pokes through weak places in a tire. Each pouch is called a diverticulum. Pouches are diverticula. The condition of having diverticula is called diverticulosis. About half of all Americans age 60 to 80, and almost everyone over age 80, have diverticulosis.

When the pouches become infected or inflamed, the condition is called diverticulitis. This happens in 10 to 25 percent of people with diverticulosis. Diverticulosis and diverticulitis are also called diverticular disease.

Diverticulitis occurs when diverticula become infected or inflamed. Doctors are not certain what causes the infection. It may begin when stool or bacteria are caught in the diverticula. An attack of diverticulitis can develop suddenly and without warning.

Most people with diverticulosis do not have any discomfort or symptoms. However, symptoms may include mild cramps, bloating, and constipation. Other diseases such as irritable bowel syndrome (IBS) and stomach ulcers cause similar problems, so these symptoms do not always mean a person has diverticulosis.

The most common symptom of diverticulitis is abdominal pain. The most common sign is tenderness around the left side of the lower abdomen. If infection is the cause, fever, nausea, vomiting, chills, cramping, and constipation may occur as well. The severity of symptoms depends on the extent of the infection and complications.

Doctors believe a low-fiber diet is the main cause of diverticular disease. Increasing fiber intake can stop the progression of diverticulosis.

I wouldn't worry about the divericulosis, but certainly follow-up with the doctor.

If you have any further questions, please ask.

__________________
PictureDeborah  -- Nurse (RN) -- 98% Positive Feedback on 2326 Health Accepts
Registered NP - Multispeciality
Reply to Deborah
Sent February 22, 2006 7:08 p.m. (3 hours and 32 minutes later)

I read the exact thing on line in looking up diverticulosis myself. This does not explain the Changes with punctate areas of submucosal hemorrhage and areas of mucosal edema. I don't understand this part. I know about Diverticulosis. I wasnt explained what was in the box about the above. This does not explain that. I found the exact same answer myself on line but no explanation of what is in the box.
Customer (name blocked for privacy)
Answer
February 22, 2006 7:29 p.m. (21 minutes and 33 seconds later)

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PictureDeborah  -- Nurse (RN) -- 98% Positive Feedback on 2326 Health Accepts
Registered NP - Multispeciality

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