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Diverticular Disease: The Old, the New, and the Ever-Changing View
- Source :
- Southern medical journal. 111(3)
- Publication Year :
- 2018
-
Abstract
- Our understanding of diverticular disease has evolved significantly during the last 25 years, and as such, a reexamination is in order. We performed a literature search for the years 1960-2017 of PubMed, Medline, and Google Scholar for updates regarding the epidemiology, risk factors, and therapies for traditional diverticulitis as well as the recently described subtypes of diverticular disease, segmental colitis associated with diverticulosis, and symptomatic uncomplicated diverticular disease. Although the prevalence of diverticulosis is still extremely common in the general population, the literature suggests that the incidence of diverticulitis is much less than previously believed and occurrences do not necessarily increase with age. In addition, the commonly held beliefs that low-fiber diets alone contribute to the development of diverticulosis and diverticulitis have not been verified; however, the combination of a low-fiber diet and a high red meat/high-fat diet is a risk factor for diverticulitis. Surgery continues to be the treatment for severe complications of diverticulitis, but new literature suggests that it has a poor utility in preventing a recurrence of diverticulitis in the long term; therefore, elective surgery after two episodes of diverticulitis is no longer the standard.
- Subjects :
- medicine.medical_specialty
Population
Global Health
03 medical and health sciences
0302 clinical medicine
Risk Factors
Epidemiology
Prevalence
Medicine
Humans
Risk factor
Elective surgery
education
Diverticular Diseases
education.field_of_study
business.industry
General surgery
Incidence (epidemiology)
General Medicine
Diverticulitis
medicine.disease
Combined Modality Therapy
Diverticulosis
030220 oncology & carcinogenesis
Diverticular disease
030211 gastroenterology & hepatology
business
Subjects
Details
- ISSN :
- 15418243
- Volume :
- 111
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Southern medical journal
- Accession number :
- edsair.doi.dedup.....25286a272e9233c6a2f3fa888dab254b