TY - JOUR
T1 - Course of the diverticular disease: What is changing?
AU - Milasavljevic, Tomica
AU - Brandimarte, Giovanni
AU - Stollman, Neil
AU - Barbara, Giovanni
AU - Lahat, Adi
AU - Scarpignato, Carmelo
AU - Lanas, Angel
AU - Papa, Valerio
AU - Tursi, Antonio
AU - Nardone, Gerardo
PY - 2019
Y1 - 2019
N2 - In this session several critical issues in diverticular disease were considered, including “It is symptomatic diverticular disease or irritable bowel syndrome?”, “What do determine evolution to diverticulitis, bowel habits alteration or inflammation?”, and “Prevention of acute diverticulitis: Is it at all possible?”. The first part compared symptoms and laboratory findings between symptomatic uncomplicated diverticular disease (SUDD) and irritable bowel syndrome (IBS). Although both diseases share same symptoms, and although IBS can occur in patients having diverticulosis, SUDD and IBS can be distinguished using a combination of symptoms and laboratory tools. The second part of this session debated what are the most important risk factors for the evolution towards acute diverticulitis (AD). Current data seem to exclude a significant role of bowel habits alteration, while inflammation seems to have a stronger role, especially in causing acute diverticulitis recurrence. The third part analyzed the prevention of acute diverticulitis. In primary prevention mesalazine seems to be useful, while no definite conclusion can be drawn about the use of fiber and rifaximin. For secondary prevention, no drugs can be currently advised. At the same time, surgery should be advised on case-by-case basis.
AB - In this session several critical issues in diverticular disease were considered, including “It is symptomatic diverticular disease or irritable bowel syndrome?”, “What do determine evolution to diverticulitis, bowel habits alteration or inflammation?”, and “Prevention of acute diverticulitis: Is it at all possible?”. The first part compared symptoms and laboratory findings between symptomatic uncomplicated diverticular disease (SUDD) and irritable bowel syndrome (IBS). Although both diseases share same symptoms, and although IBS can occur in patients having diverticulosis, SUDD and IBS can be distinguished using a combination of symptoms and laboratory tools. The second part of this session debated what are the most important risk factors for the evolution towards acute diverticulitis (AD). Current data seem to exclude a significant role of bowel habits alteration, while inflammation seems to have a stronger role, especially in causing acute diverticulitis recurrence. The third part analyzed the prevention of acute diverticulitis. In primary prevention mesalazine seems to be useful, while no definite conclusion can be drawn about the use of fiber and rifaximin. For secondary prevention, no drugs can be currently advised. At the same time, surgery should be advised on case-by-case basis.
KW - Acute Disease
KW - Colonoscopy
KW - Colorectal cancer
KW - Diagnosis, Differential
KW - Disease Progression
KW - Diverticular Diseases
KW - Diverticular disease
KW - Diverticulitis
KW - Humans
KW - Irritable Bowel Syndrome
KW - Risk Factors
KW - Secondary Prevention
KW - Segmental colitis associated with diverticulosis
KW - Acute Disease
KW - Colonoscopy
KW - Colorectal cancer
KW - Diagnosis, Differential
KW - Disease Progression
KW - Diverticular Diseases
KW - Diverticular disease
KW - Diverticulitis
KW - Humans
KW - Irritable Bowel Syndrome
KW - Risk Factors
KW - Secondary Prevention
KW - Segmental colitis associated with diverticulosis
UR - http://hdl.handle.net/10807/172506
U2 - 10.15403/jgld-552
DO - 10.15403/jgld-552
M3 - Article
SN - 1841-8724
VL - 28
SP - 11
EP - 15
JO - Journal of Gastrointestinal and Liver Diseases
JF - Journal of Gastrointestinal and Liver Diseases
ER -