Divertikulární nemoc
Authors:
M. Berková; Z. Berka
Published in the journal:
Geriatrie a Gerontologie 2017, 6, č. 1: 23-27
Category:
Review Article
Summary
Incidence and prevalence diverticular disease increase with age and in seniors 80+ more than half of the population is affected. In developed western countries diverticular disease involve predominantly left side of the colon and disease development is associated with low-volume diet and low physical activity. On the other hand in African and Asian population the occurrence of the disease is low and pathological changes affect right side of the colon, probably with genetic predisposition. In majority of patients the disease is asymptomatic, only minority of patients suffer from symptoms – symptomatic uncomplicated diverticular disease (SUDD) or complicated diverticulosis. Severe form of complicated disease is acute diverticulitis with development of abscess, fistula or peritonitis in case of bowel perforation. In some cases, inflammatory changes in bowel wall may cause intra-luminal obstruction. In SUDD treatment fibre and fibre-supplements, local antibiotics, mesalasin, probiotics and spasmolytics were studied. In acute diverticulitis antibiotics treatment is discussed. For disease prevention healthy lifestyle with sufficient intake of insoluble fibre and physical activity are recommended.
KEYWORDS:
diverticular disease – symptomatic uncomplicated diverticular disease (SUDD) – acute diverticulitis, – abscess – fistula – peritonitis – bowel obstruction
Zdroje
1. Liu CK, Hsu HH, Cheng SM. Colonic Diverticulitis in the elderly. International Journal of Gerontology 2009; 3(1): 9–15.
2. Elisei W, Tursi A. Recent advances in the treatment of colonic diverticular disease and prevention of acute diverticulitis. Ann Gastroenterol 2016; 29(1): 24–32.
3. Sopeňa F, Lanas A. Management of colonic diverticular disease with poorly absorbed antibiotics and other therapies. Therapeutic advances in gastroenterology 2011; 4(5): 365–374.
4. Latella G, Pimpo MT, Sottili S, et al. Rifaximin improves symptoms of acquired uncomplicated diverticular disease of the colon. Int J Colorectal Dis 2003; 18: 55–62.
5. Colecchia A, Vestito A, Pasqui F, et al. Efficacy of long term cyclic administration of the poorly absorbed antibiotic rifaximin in symptomatic uncomplicated colonic diverticular disease. World J Gastroenterol 2007; 13: 264–269.
6. Tursi A, Brandimarte G, Giorgetti GM, Elisei W. Mesalazine and/or Lactobacillus casei in maintaining long-term remission of symptomatic uncomplicated diverticular disease of the colon. Hepatogastroenterology 2008; 55: 916–920.
7. Lahner E, Esposito G, Zullo A, et al. High-fibre diet and Lactobacillus paracasei in symptomatic uncomplicated diverticular disease. World J Gastroenterol 2012; 18(41): 5918–5924.
8. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg 1978; 12: 85–109.
9. O´Neill S, Ross P, Mc Garry P, Yalamarthi S. Latest diagnosis and management of diverticulitis. BJMP 2011; 4(4): a443.
10. Chabok A, Påhlman L, Hjern F, Haapaniemi S, Smedh K. AVOD Study Group. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg 2012; 99(4): 532–539.
11. Boynton W, Floch M. New strategies for the management of diverticular disease: insights for the clinician. Therap Adv Gastroenterol 2013; 6(3): 205–213.
12. Beckham H, Whitlow CB. The medical and nonoperative treatment of diverticulitis. Clin Colon Rectal Surg 2009; 22(3): 156–160.
13. De Korte N, Kuyvenhoven JP, van der Peet DL, et al. Mild colonic diverticulitis can be treated without antibiotics. A case-control study. Colorectal Dis 2012; 14(3): 325–330.
14. Stollman N, Smalley W, Hirano I. AGA Institute Clinical Guidelines Committee. American Gastroenterological Association Institute Guideline on the Management of Acute Diverticulitis. Gastrenterology 2015; 149(7): 1944–1949.
15. Sartelli M, Catena F, Ansaloni L, et al. WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting. World Journal of Emergency Surgery 2016; 11: 37.
16. Murphy T, Hunt RH, Fried M, Krabshuis JH. Diverticular Disease. World Gastroenterology Organisation Practice Guideline, 2007. Dostupné z: http://www.worldgastroenterology.org.
Štítky
Geriatrics General practitioner for adults Orthopaedic prostheticsČlánok vyšiel v časopise
Geriatrics and Gerontology
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