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Gut Microbiota Association with Diverticular Disease Pathogenesis and Progression: A Systematic Review
Elisa Reitano1, Elisa Francone2,3, Elisa Bona4
1Department of Translational Medicine, Maggiore Della Carità University Hospital, University of Eastern Piedmont, Via Solaroli 17, 28100, Novara, Italy. elisa.reitano@live.it.
The intestinal microbiome may play a role in diverticular disease (DD) and acute diverticulitis (AD). Enterobacteriaceae and Bifidobacteria were the most associated microbiota, but more research is needed.
Area of Science:
- Gastroenterology
- Microbiology
- Public Health
Background:
- Diverticular disease (DD) is a prevalent condition in Western countries.
- Emerging evidence links the intestinal microbiome to various diseases, including DD and acute diverticulitis (AD).
- Understanding the microbiome's role in DD pathogenesis is crucial for developing targeted therapies.
Approach:
- A systematic review was conducted following PRISMA guidelines.
- Literature search performed across multiple databases (Medline, Scopus, Embase, etc.).
- Included studies focused on patients with any stage of diverticular disease; quality assessed using the Newcastle-Ottawa scale.
Key Points:
- Nine studies were included in the review.
- Only one study focused on acute diverticulitis (AD); others examined DD without acute inflammation.
- Enterobacteriaceae and Bifidobacteria were identified as the most frequently associated microbiota with DD.
Conclusions:
- Significant heterogeneity exists among the included studies regarding population characteristics and sampling methods.
- Further research is essential to elucidate the precise role of the intestinal microbiome in colonic diverticulitis.
- Clarifying the microbiome's involvement could lead to novel therapeutic strategies for this widespread condition.
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