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Saturday, December 11, 2010

Diverticular disease in India

We feel the incidence of diverticular disease is gradually increasing in our country. We have recently seen a number of cases with different presentations. cases with jejunal diverticuli with upper GI bleed. One was detected on push enteroscopy, one suspected on MR enteroclysis and one detected at laparotomy. The last patient had a rare blood group(O negative) and bled continuously, suspected to have colonic diverticulae. He was operated early because of rare blood group and we were able to resect the segment responsible and patient improved.
Apart from this we recently saw many patients with sigmoid colonic diverticulae presenting with perforated diverticulae and diverticulitis and colo-vesical fistulae.

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