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Epidemiology of diverticular disease -- systematic review of the literature.
Chirurgia (Bucur). 2015 Jan-Feb; 110(1):9-14.C

Abstract

INTRODUCTION

Associated with the Western diet and life style,diverticular disease is affecting more and more developing countries worldwide. Recent studies show an increase in incidence of the disease at young age, that raises the risk of complications, along with major consequences for the patient but also for the healthcare system.

METHOD

Systematic review of the literature with US National Library of Medicine and National Institutes of Health International PubMed Medline, using abstracts and articles available in PubMed Medline, Cochrane databases searching for ("Diverticulosis, Colonic epidemiology" [MeSH] OR"Diverticulosis, Colonic etiology" [MeSH] OR "Diverticulosis,Colonic genetics" [MeSH] OR "Diverticulosis, Colonic history" [MeSH]).

RESULTS

Even from the rise of diverticular disease as a public healthcare problem, at the end of the previous century, it was associated with a diet rich in refined sugars, lacking vegetable fibres. The higher incidence in countries like U.S.A., Canada, United Kingdom and the northern states compared with its rare occurrence in the sub-Saharan African continent, strengthen the anterior assumptions. In regions like Asia, the disease pattern is characterized by are latively low incidence of colonic diverticular disease, with distribution of diverticula mainly on the right colon. The different incidence by sex and age show the possible existence of hormonal protective factors. Studies from countries with a rich ethnic diversity, bring into question the probable genetic predisposition to diverticular disease, fact backed-up by the few studies on twins and 1st degree relatives available in the literature.

DISCUSSION

The rising incidence of colonic diverticular disease in Romania makes our country adhere the epidemiologic model existing in countries with a close socio-economic status.Although with a lower incidence than countries that have adopted a Western diet, Romania is likely to encounter a public health problem, if certain measures to identify and minimise the population exposure to risk factors are not taken.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

25800310

Citation

Tănase, I, et al. "Epidemiology of Diverticular Disease -- Systematic Review of the Literature." Chirurgia (Bucharest, Romania : 1990), vol. 110, no. 1, 2015, pp. 9-14.
Tănase I, Păun S, Stoica B, et al. Epidemiology of diverticular disease -- systematic review of the literature. Chirurgia (Bucur). 2015;110(1):9-14.
Tănase, I., Păun, S., Stoica, B., Negoi, I., Gaspar, B., & Beuran, M. (2015). Epidemiology of diverticular disease -- systematic review of the literature. Chirurgia (Bucharest, Romania : 1990), 110(1), 9-14.
Tănase I, et al. Epidemiology of Diverticular Disease -- Systematic Review of the Literature. Chirurgia (Bucur). 2015 Jan-Feb;110(1):9-14. PubMed PMID: 25800310.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemiology of diverticular disease -- systematic review of the literature. AU - Tănase,I, AU - Păun,S, AU - Stoica,B, AU - Negoi,I, AU - Gaspar,B, AU - Beuran,M, PY - 2015/02/01/accepted PY - 2015/3/25/entrez PY - 2015/3/25/pubmed PY - 2015/5/28/medline SP - 9 EP - 14 JF - Chirurgia (Bucharest, Romania : 1990) JO - Chirurgia (Bucur) VL - 110 IS - 1 N2 - INTRODUCTION: Associated with the Western diet and life style,diverticular disease is affecting more and more developing countries worldwide. Recent studies show an increase in incidence of the disease at young age, that raises the risk of complications, along with major consequences for the patient but also for the healthcare system. METHOD: Systematic review of the literature with US National Library of Medicine and National Institutes of Health International PubMed Medline, using abstracts and articles available in PubMed Medline, Cochrane databases searching for ("Diverticulosis, Colonic epidemiology" [MeSH] OR"Diverticulosis, Colonic etiology" [MeSH] OR "Diverticulosis,Colonic genetics" [MeSH] OR "Diverticulosis, Colonic history" [MeSH]). RESULTS: Even from the rise of diverticular disease as a public healthcare problem, at the end of the previous century, it was associated with a diet rich in refined sugars, lacking vegetable fibres. The higher incidence in countries like U.S.A., Canada, United Kingdom and the northern states compared with its rare occurrence in the sub-Saharan African continent, strengthen the anterior assumptions. In regions like Asia, the disease pattern is characterized by are latively low incidence of colonic diverticular disease, with distribution of diverticula mainly on the right colon. The different incidence by sex and age show the possible existence of hormonal protective factors. Studies from countries with a rich ethnic diversity, bring into question the probable genetic predisposition to diverticular disease, fact backed-up by the few studies on twins and 1st degree relatives available in the literature. DISCUSSION: The rising incidence of colonic diverticular disease in Romania makes our country adhere the epidemiologic model existing in countries with a close socio-economic status.Although with a lower incidence than countries that have adopted a Western diet, Romania is likely to encounter a public health problem, if certain measures to identify and minimise the population exposure to risk factors are not taken. SN - 1221-9118 UR - https://www.unboundmedicine.com/medline/citation/25800310/Epidemiology_of_diverticular_disease____systematic_review_of_the_literature_ L2 - http://revistachirurgia.ro/pdfs/2015-1-9.pdf DB - PRIME DP - Unbound Medicine ER -