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Paradigm shift: the Copernican revolution in diverticular disease

Το τεκμήριο παρέχεται από τον φορέα :
Hellenic Society of Gastroenterology   

Αποθετήριο :
Annals of Gastroenterology   

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Paradigm shift: the Copernican revolution in diverticular disease (EN)
Fiorini, Giulia
De Francesco, Vincenzo
Vaira, Dino
Vassallo, Roberto
Gatta, Luigi
Monica, Fabio
Zullo, Angelo
Manta, Raffale
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
2019-11-13
Diverticular disease (DD) is an umbrella definition that includes different clinical conditions ranging from diverticulosis to severe and potentially life-threatening complications. In the last decade, new concepts regarding pathogenetic alterations have been developed, while the diagnostic, clinical and therapeutic approaches to the management of DD patients have changed. The protective role of dietary factors (i.e., fiber) has been questioned, whilst some drugs widely used in clinical practice have been found to have a deleterious effect. The use of antibiotics in all patients with acute uncomplicated diverticulitis was reconsidered, as well as the need for a surgical approach in these patients. Conflicting recommendations in different guidelines were proposed for the treatment of symptomatic uncomplicated DD. An endoscopic classification of DD was introduced, and a “curative” endoscopic approach has been pioneered. Based on these observations, which together amount to a kind of “Copernican revolution” in the management of DD patients, we performed a comprehensive and critical reappraisal of the proposed modifications, aiming to discriminate between certainties and doubts on this issue. Keywords Diverticular disease, pathogenesis, diagnosis, complications Ann Gastroenterol 2019; 32 (6): 541-553 (EN)
Αγγλική γλώσσα
Hellenic Society of Gastroenterology (EN)
1792-7463
1108-7471
Annals of Gastroenterology; Volume 32, No 6 (2019); 541 (EN)
Copyright (c) 2019 Annals of Gastroenterology (EN)
Hellenic Society of Gastroenterology
Annals of Gastroenterology
Review Articles



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