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Diverticular Disease: Traditional and Evolving Paradigms.

Lenore Lamanna1, Patricia E Moran

  • 1Lenore Lamanna, EdD, RN, ANP-BC, is with Stony Brook University, Stony Brook, New York; and is Clinical Associate Professor, Graduate Studies in Advanced Practice Nursing, Nurse Practitioner Gastroenterology Associates of Suffolk, Smithtown, New York. Patricia E. Moran, DNP, RN, ANP-C, is with Stony Brook University, New York; and is Clinical Assistant Professor, Graduate Studies in Advanced Practice Nursing.

Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates
|March 30, 2018
PubMed
Summary

Diverticular disease, including diverticulosis and diverticulitis, is a common gastrointestinal diagnosis. This review explores evolving concepts in its pathophysiology, prevention, and management for better patient outcomes.

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Area of Science:

  • Gastroenterology
  • Colorectal Diseases

Background:

  • Diverticular disease, encompassing diverticulosis and diverticulitis, is a prevalent gastrointestinal diagnosis in the US.
  • It presents a spectrum from asymptomatic conditions to complicated inflammation, posing diagnostic challenges due to overlapping symptoms with other lower abdominal pain causes.

Observation:

  • Theories on diverticula formation include colonic physiology, collagen cross-linking, and debated low-fiber intake.
  • Recent research is shifting the understanding of diverticular disease paradigms.

Findings:

  • This article reviews traditional beliefs and emerging concepts regarding the pathophysiology of diverticular disease.
  • It also discusses updated prevention strategies and management approaches.

Implications:

  • Understanding evolving concepts in diverticular disease is crucial for accurate diagnosis and effective patient management.
  • Practitioners need to stay informed to improve clinical outcomes for patients with this condition.