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Diverticulosis today
Walter Elisei1, Giovanni Brandimarte2, Antonio Tursi3
1Division of Gastroenterology, ASL Roma 6, Albano Laziale, Rome, Italy.
Minerva Gastroenterologica E Dietologica
|October 9, 2018
Summary
Diverticular disease is rising globally, posing a significant healthcare cost. While some treatments help uncomplicated cases, effective strategies to prevent acute diverticulitis recurrence are still needed.
Area of Science:
- Gastroenterology
- Colorectal Diseases
Background:
- Diverticulosis and diverticular disease of the colon are increasing worldwide.
- This condition represents a substantial burden on healthcare systems due to direct and indirect costs.
Purpose of the Study:
- To review current understanding and treatment of colonic diverticular disease.
- To highlight the lack of robust evidence for preventing acute diverticulitis recurrence.
- To emphasize the emerging focus on endoscopic classification for guiding therapeutic approaches.
Main Methods:
- Literature review of existing studies on diverticular disease management.
- Analysis of current treatment strategies for symptomatic and uncomplicated cases.
- Discussion of emerging trends in disease classification and therapeutic evaluation.
Main Results:
- Fiber, non-absorbable antibiotics, and probiotics show effectiveness in treating symptomatic, uncomplicated diverticular disease.
- 5-aminosalicylic acid may aid in preventing acute diverticulitis.
- Robust evidence for medical strategies to prevent acute diverticulitis recurrence is currently lacking.
Conclusions:
- Current treatments offer benefits for uncomplicated diverticular disease but do not fully address recurrence prevention.
- Further research is needed to establish effective long-term management strategies.
- Development of a new endoscopic classification is crucial for optimizing therapeutic decisions and evaluating treatment outcomes.
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