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Diverticular Disease - Colonic Epidemy of the 21st Century (Paperback)
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Diverticular Disease - Colonic Epidemy of the 21st Century (Paperback)
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Diverticular disease is one of the most common problems encountered
by gastroenterologists, emergency physicians and surgeons, with a
higher prevalence in elderly patients and a dramatic rising of
incidences in young people, which involve an increase in health
care costs, according to ambulatory visits and hospital admissions.
Acute diverticulitis, the most important complication of
diverticular disease, has a broad spectrum of severity, which
involves many treatment options, ranging from outpatient-based
antibiotic treatment, or even isolated nonsteroidal
anti-inflammatory drugs, to parenteral antibiotic regimen,
percutaneous drainage or surgery (lavage and drainage, Hartmann
procedure or resection with anastomosis with or without a diverting
stoma). The American Society of Colon and Rectal Surgeons
recommended in their guidelines a routine follow-up colonoscopy
after recovery from an acute episode to rule out malignancy, which
is being re-evaluated in recent studies, including the alternative
CT-colonography, especially in cases of incomplete colonoscopy or
in high-risk patients. After an episode of acute diverticulitis,
there is a significant risk of recurrence and a negative impact on
quality of life. In order to decrease it, there are many treatments
that are being evaluated such as fiber-rich diet, mesalazine,
rifaximin, probiotics and elective colon resection, which should be
decided individually. The aim of this book is to revise the current
evidence about the diverticular disease and acute diverticulitis.
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