Treatment strategies in recurrent and ongoing diverticulitis

Marguerite Annelie Willemijn Gorter-Stam

Research output: ThesisPhD Thesis - Research external, graduation UTAcademic

29 Downloads (Pure)

Abstract

Each year approximately 22,000 patients in the Netherlands are seen in the emergency department with suspected diverticulitis. This leads to an estimated 18,000 admissions a year with total estimated costs of 40 to 80 million euro per year. Diverticulitis is thus one of the most common and costly benign gastrointestinal diseases in the western population. It is estimated that 70% of the population aged 70 and older have diverticula in the colon. Of these patients approximately 25% will experience one or more episodes of diverticulitis. In patients with recurrent diverticulitis the frequency of relapses may vary from every three months to once every 10 years. In most cases the first relapse will take place within five years after the initial episode. If symptoms persist after a first or recurrent diverticulitis - such as left lower abdominal pain, persistent fatigue, difficulty with bowel movements, decreased appetite and episodes of fever, referral to a specialist is in place. Several aspects of both the etiology and treatment of patients with diverticulitis are subject of debate. Some of them will be discussed in this thesis.
Original languageEnglish
Awarding Institution
  • University of Twente
Supervisors/Advisors
  • Broeders, Ivo Adriaan Maria Johannes, Supervisor
  • Consten, Esther C.J., Advisor, External person
  • Draaisma, Werner A., Advisor, External person
Award date6 Oct 2016
Place of PublicationEnschede
Publisher
Print ISBNs978-94-6233-392-5
Publication statusPublished - 6 Oct 2016

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Diverticulitis
Therapeutics
Colon Diverticula
Recurrence
Gastrointestinal Diseases
Appetite
Netherlands
Abdominal Pain
Population
Fatigue
Hospital Emergency Service
Fever
Referral and Consultation
Costs and Cost Analysis

Keywords

  • METIS-320422
  • IR-102917

Cite this

Gorter-Stam, M. A. W. (2016). Treatment strategies in recurrent and ongoing diverticulitis. Enschede: University of Twente.
Gorter-Stam, Marguerite Annelie Willemijn. / Treatment strategies in recurrent and ongoing diverticulitis. Enschede : University of Twente, 2016. 215 p.
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Gorter-Stam, MAW 2016, 'Treatment strategies in recurrent and ongoing diverticulitis', University of Twente, Enschede.

Treatment strategies in recurrent and ongoing diverticulitis. / Gorter-Stam, Marguerite Annelie Willemijn.

Enschede : University of Twente, 2016. 215 p.

Research output: ThesisPhD Thesis - Research external, graduation UTAcademic

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T1 - Treatment strategies in recurrent and ongoing diverticulitis

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N2 - Each year approximately 22,000 patients in the Netherlands are seen in the emergency department with suspected diverticulitis. This leads to an estimated 18,000 admissions a year with total estimated costs of 40 to 80 million euro per year. Diverticulitis is thus one of the most common and costly benign gastrointestinal diseases in the western population. It is estimated that 70% of the population aged 70 and older have diverticula in the colon. Of these patients approximately 25% will experience one or more episodes of diverticulitis. In patients with recurrent diverticulitis the frequency of relapses may vary from every three months to once every 10 years. In most cases the first relapse will take place within five years after the initial episode. If symptoms persist after a first or recurrent diverticulitis - such as left lower abdominal pain, persistent fatigue, difficulty with bowel movements, decreased appetite and episodes of fever, referral to a specialist is in place. Several aspects of both the etiology and treatment of patients with diverticulitis are subject of debate. Some of them will be discussed in this thesis.

AB - Each year approximately 22,000 patients in the Netherlands are seen in the emergency department with suspected diverticulitis. This leads to an estimated 18,000 admissions a year with total estimated costs of 40 to 80 million euro per year. Diverticulitis is thus one of the most common and costly benign gastrointestinal diseases in the western population. It is estimated that 70% of the population aged 70 and older have diverticula in the colon. Of these patients approximately 25% will experience one or more episodes of diverticulitis. In patients with recurrent diverticulitis the frequency of relapses may vary from every three months to once every 10 years. In most cases the first relapse will take place within five years after the initial episode. If symptoms persist after a first or recurrent diverticulitis - such as left lower abdominal pain, persistent fatigue, difficulty with bowel movements, decreased appetite and episodes of fever, referral to a specialist is in place. Several aspects of both the etiology and treatment of patients with diverticulitis are subject of debate. Some of them will be discussed in this thesis.

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KW - IR-102917

M3 - PhD Thesis - Research external, graduation UT

SN - 978-94-6233-392-5

PB - University of Twente

CY - Enschede

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Gorter-Stam MAW. Treatment strategies in recurrent and ongoing diverticulitis. Enschede: University of Twente, 2016. 215 p.