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Diverticula and Diverticulitis: Time for a Reappraisal.
Gastroenterol Hepatol (N Y). 2015 Oct; 11(10):680-8.GH

Abstract

Colonic diverticula are very common and may be associated with symptoms or complicated by diverticulitis and its associated problems. Many of the traditional concepts relating to the pathophysiology, prevention, and management of these entities have been questioned recently based on findings from high-quality prospective studies. Although dietary fiber may protect against symptoms and complications, its impact on the formation of diverticula may be limited. It is now evident that the risk for an episode of diverticulitis in an individual with diverticula is lower than previously thought. Furthermore, the necessity for antibiotic use in uncomplicated diverticulitis has been questioned and serious doubt cast upon the belief that surgery should be performed when a second attack occurs. Although data are far from conclusive, there is some evidence to suggest that diverticulosis may be associated with chronic abdominal symptoms, with or without underlying chronic inflammatory changes in the involved segment of the colon. In addition, colonoscopy is not routinely required after an attack of acute uncomplicated diverticulitis, as the risk of cancer in this population is not much higher than in the general population.

Authors+Show Affiliations

Dr Barroso is an associate professor and Dr Quigley is a professor in the Division of Gastroenterology and Hepatology at the Lynda K. and David M. Underwood Center for Digestive Disorders at Houston Methodist Hospital and Weill Cornell Medical College in Houston, Texas.Dr Barroso is an associate professor and Dr Quigley is a professor in the Division of Gastroenterology and Hepatology at the Lynda K. and David M. Underwood Center for Digestive Disorders at Houston Methodist Hospital and Weill Cornell Medical College in Houston, Texas.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27330495

Citation

Barroso, Alberto O., and Eamonn M M. Quigley. "Diverticula and Diverticulitis: Time for a Reappraisal." Gastroenterology & Hepatology, vol. 11, no. 10, 2015, pp. 680-8.
Barroso AO, Quigley EM. Diverticula and Diverticulitis: Time for a Reappraisal. Gastroenterol Hepatol (N Y). 2015;11(10):680-8.
Barroso, A. O., & Quigley, E. M. (2015). Diverticula and Diverticulitis: Time for a Reappraisal. Gastroenterology & Hepatology, 11(10), 680-8.
Barroso AO, Quigley EM. Diverticula and Diverticulitis: Time for a Reappraisal. Gastroenterol Hepatol (N Y). 2015;11(10):680-8. PubMed PMID: 27330495.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diverticula and Diverticulitis: Time for a Reappraisal. AU - Barroso,Alberto O, AU - Quigley,Eamonn M M, PY - 2016/6/23/entrez PY - 2016/6/23/pubmed PY - 2016/6/23/medline KW - Diverticulosis KW - antibiotics KW - diverticula KW - diverticular disease KW - diverticulitis KW - fiber KW - surgery SP - 680 EP - 8 JF - Gastroenterology & hepatology JO - Gastroenterol Hepatol (N Y) VL - 11 IS - 10 N2 - Colonic diverticula are very common and may be associated with symptoms or complicated by diverticulitis and its associated problems. Many of the traditional concepts relating to the pathophysiology, prevention, and management of these entities have been questioned recently based on findings from high-quality prospective studies. Although dietary fiber may protect against symptoms and complications, its impact on the formation of diverticula may be limited. It is now evident that the risk for an episode of diverticulitis in an individual with diverticula is lower than previously thought. Furthermore, the necessity for antibiotic use in uncomplicated diverticulitis has been questioned and serious doubt cast upon the belief that surgery should be performed when a second attack occurs. Although data are far from conclusive, there is some evidence to suggest that diverticulosis may be associated with chronic abdominal symptoms, with or without underlying chronic inflammatory changes in the involved segment of the colon. In addition, colonoscopy is not routinely required after an attack of acute uncomplicated diverticulitis, as the risk of cancer in this population is not much higher than in the general population. SN - 1554-7914 UR - https://www.unboundmedicine.com/medline/citation/27330495/full_citation L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/27330495/ DB - PRIME DP - Unbound Medicine ER -
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