Treatment strategies in recurrent and ongoing diverticulitis

Marguerite Annelie Willemijn Gorter-Stam

    Research output: ThesisPhD Thesis - Research external, graduation UT

    31 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

    Fingerprint

    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 UT

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    T1 - Treatment strategies in recurrent and ongoing diverticulitis

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    N1 - This thesis is available in the App Store: https://www.thesisapps.com/gorter-stam

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    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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    M3 - PhD Thesis - Research external, graduation UT

    SN - 978-94-6233-392-5

    PB - University of Twente

    CY - Enschede

    ER -

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