Segmental Colitis Associated with Diverticulosis (SCAD syndrome)

Diverticulosis can exist with segmental colitis – have an older patient who had bad diarrhea on a trip and was diagnosed with such. Not something I was aware of.

Dig Dis Sci. 2008 Sep;53(9):2452-7. Epub 2008 Mar 13. Natural history and long-term clinical behavior of segmental colitis associated with diverticulosis (scad syndrome). Freeman HJ. abstract
I was aware of colonic ulcerations from NSAID’s as I have had a couple patients colonoscoped and told to stop their NSAID’s ( I guess a PPI ulcer pill wouldn’t help there).

  • after age 40 years, more males
  • rectal bleeding
  • diarrhea
  • abdominal pain.
  • “Most (21 of 24, over 80%) initially responded with longterm resolution of their disease after treatment only with a 5-aminosalicylate.”
  • “sigmoiditis”
  • Occasionally need steroids or resection

Comment – this is one of those disorders that will become more prevalent after it is recognized…

Anyone had any experience with? michaelhandtasches michaelhandtasches

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