[HTML][HTML] Computational analysis of mechanical stress in colonic diverticulosis

B Patel, X Guo, J Noblet, S Chambers, H Gregersen… - Scientific reports, 2020 - nature.com
Scientific reports, 2020nature.com
Diverticulosis results from the development of pouch-like structures, called diverticula, over
the colon. The etiology of the disease is poorly understood resulting in a lack of effective
treatment approaches. It is well known that mechanical stress plays a major role in tissue
remodeling, yet its role in diverticulosis has not been studied. Here, we used computational
mechanics to investigate changes in stress distribution engendered over the colon tissue by
the presence of a pouch-like structure. The objectives of the study were twofold:(1) observe …
Abstract
Diverticulosis results from the development of pouch-like structures, called diverticula, over the colon. The etiology of the disease is poorly understood resulting in a lack of effective treatment approaches. It is well known that mechanical stress plays a major role in tissue remodeling, yet its role in diverticulosis has not been studied. Here, we used computational mechanics to investigate changes in stress distribution engendered over the colon tissue by the presence of a pouch-like structure. The objectives of the study were twofold: (1) observe how stress distribution changes around a single pouch and (2) evaluate how stress elevation correlates with the size of the pouch. Results showed that high stresses are concentrated around the neck of a pouch, and their values and propagation increase with the size of the pouch neck rather than the pouch surface area. These findings suggest that stress distribution may change in diverticulosis and a vicious cycle may occur where pouch size increases due to stress elevation, which in turn elevates stress further and so on. Significant luminal pressure reduction would be necessary to maintain stress at normal level according to our results and therapeutic approaches aimed directly at reducing stress should rather be sought after.
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