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Diverticular disease of the large bowel – a new perspective on classification and therapy


Authors: Lukáš M.
Authors place of work: Klinické a výzkumné centrum pro střevní záněty ISCARE I. V. F. a. s. a 1. LF UK, Praha
Published in the journal: Gastroent Hepatol 2019; 73(5): 413-417
Category: Gastrointestinální onkologie: přehledová práce
doi: https://doi.org/10.14735/amgh2019413

Summary

Symptomatic, uncomplicated diverticular disease (SUDD) of the large bowel is the most frequent form of diverticular disease experienced by a gastroenterologist. This entity is clinically characterized by intermittent or long-term abdominal pain, excess bowel gas, flatulence, and irregular bowel movement. In some patients, SUDD can occur after a flare-up of acute diverticulitis but in other patients it can cause diverticulitis. The current therapy comprises lifestyle changes in diet, namely the ingestion of fiber rich food and intermittent therapy with antibiotics. A promising therapy seems to be intermittent therapy with the nonabsorbable antibiotic rifaximin.

Keywords:

diverticular disease of the large bowel – diverticulitis – rifaximin


Zdroje

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Štítky
Detská gastroenterológia Gastroenterológia a hepatológia Chirurgia všeobecná

Článok vyšiel v časopise

Gastroenterologie a hepatologie

Číslo 5

2019 Číslo 5
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