Management of Patients With Diverticulosis and Diverticular Disease: Consensus Statements From the 2nd International Symposium on Diverticular Disease.

Abstract:

:The statements produced by the Chairmen of the 2nd International Symposium on Diverticular Disease, held in Rome on April 8th to 9th, 2016, are reported. Topics such as epidemiology, risk factors, diagnosis, medical and surgical treatment of diverticular disease in patients with uncomplicated and complicated diverticular disease were reviewed by the Chairmen who proposed 41 statements graded according to level of evidence and strength of recommendation. Each topic was explored focusing on the more relevant clinical questions. The vote was conducted on a 6-point scale and consensus was defined a priori as 67% agreement of the participants. The voting group consisted of 80 physicians from 6 countries, and agreement with all statements was provided. Comments were added explaining some controversial areas.

journal_name

J Clin Gastroenterol

authors

Tursi A,Picchio M,Elisei W,Di Mario F,Scarpignato C,Brandimarte G

doi

10.1097/MCG.0000000000000654

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

S101-7

eissn

0192-0790

issn

1539-2031

pii

00004836-201610001-00033

journal_volume

50 Suppl 1

pub_type

共识发展会议,杂志文章
  • The cost of knowing the truth-limitations to a cost-benefit analysis of upper GI endoscopy.

    abstract::In a prospective series of 284 upper gastrointestinal (GI) endoscopies, outcome was evaluated by a cost-benefit analysis. Two-thirds of the endoscopies had a negative result, or a diagnosis was found which was not worth the costs of the endoscopy. The overall diagnostic gain of 284 endoscopies, however, outweighed the...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00004836-198204000-00003

    authors: Sonnenberg A,Blum AL

    更新日期:1982-04-01 00:00:00

  • New regulatory trends for probiotics.

    abstract::The aim of this paper (presented in Rome, Italy, at the 2nd Congress of Probiotics, Prebiotics, and New Food, September 7-9, 2003) was to provide an objective view of the regulatory trends at the European level specifically referring to probiotics, because until now they have never been directly mentioned nor official...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/01.mcg.0000128733.79515.c4

    authors: Prevot MB

    更新日期:2004-07-01 00:00:00

  • Esophagogastric Junction Outflow Obstruction: Are We Missing Anything?

    abstract:GOALS:The authors aimed to compare preperistaltic distal esophageal pressure in patients with esophagogastric junction outflow obstruction (EGJOO) with and without reported dysphagia. BACKGROUND:Manometric EGJOO is characterized by elevated integral relaxation pressure (>15 mm Hg) without achalasia. The nomenclature i...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0000000000001355

    authors: Csucska M,Masuda T,Bremner RM,Mittal SK

    更新日期:2021-02-01 00:00:00

  • Endoscopic Treatment of Gastrointestinal Perforations, Leaks, and Fistulae.

    abstract::Gastrointestinal leaks and fistulae are common postoperative complications, whereas intestinal perforation more commonly complicates advanced endoscopic procedures. Although these complications have classically been managed surgically, there exists an ever-expanding role for endoscopic therapy and the involvement of a...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MCG.0000000000000409

    authors: Rustagi T,McCarty TR,Aslanian HR

    更新日期:2015-11-01 00:00:00

  • Appointment Wait Time, Primary Care Provider Status, and Patient Demographics are Associated With Nonattendance at Outpatient Gastroenterology Clinic.

    abstract:GOALS:We intended to identify the factors associated with missed appointments at a gastroenterology (GI) clinic in an academic setting. BACKGROUND:Missed clinic appointments reduce clinic efficiency, waste resources, and increase costs. Limited data exist on subspecialty clinic attendance. STUDY:We performed a case-c...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0000000000000706

    authors: Shrestha MP,Hu C,Taleban S

    更新日期:2017-05-01 00:00:00

  • Celiac Disease is Misdiagnosed Based on Serology Only in a Substantial Proportion of Patients.

    abstract:BACKGROUND:Although the diagnostic process in celiac disease (CeD) has been addressed in several international guidelines, little is known about the actual proceeding in current clinical practice. This study investigated the initial presentation, the diagnostic process, follow-up evaluations, and adherence to a gluten-...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0000000000000676

    authors: Vavricka SR,Stelzer T,Lattmann J,Stotz M,Lehmann R,Zeitz J,Scharl M,Misselwitz B,Pohl D,Fried M,Tutuian R,Fasano A,Schoepfer AM,Rogler G,Biedermann L,Greuter T

    更新日期:2018-01-01 00:00:00

  • Celiac sprue-associated immune complex glomerulonephritis.

    abstract::A 35-year-old man developed leg edema, marked hypoalbuminemia, and proteinuria. Subsequent renal biopsy revealed a diffuse membranoproliferative glomerulonephritis and, on electron microscopy, typical electron-dense deposits characteristic of an immune complex pathogenesis. Although protein wasting might have readily ...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00004836-198604000-00016

    authors: Scholey J,Freeman HJ

    更新日期:1986-04-01 00:00:00

  • Barrett's mucosa with multiple carcinomas of the esophagus and oral cavity.

    abstract::A 62-year-old man with carcinoma of the tongue had two separate asymptomatic carcinomas of the esophagus, one squamous and the other adenocarcinoma arising from Barrett's mucosa. We review the multicentric origin and synchronous occurrence of tumors in the oropharyngoesophageal area with and without Barrett's mucosa t...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/00004836-198602000-00022

    authors: Sheahan DG,Berman MA

    更新日期:1986-02-01 00:00:00

  • Current Management of Patients With Diverticulosis and Diverticular Disease: A Survey From the 2nd International Symposium on Diverticular Disease.

    abstract:BACKGROUND:Management of diverticular disease (DD) remains a point of debate. GOALS:To investigate the current opinion of participants of the 2nd International Symposium on Diverticular Disease, on real-life management of patients with DD of the colon. STUDY:Twelve questions were aimed at the diagnosis, treatment, an...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0000000000000645

    authors: Tursi A,Picchio M,Elisei W,Di Mario F,Scarpignato C,Brandimarte G

    更新日期:2016-10-01 00:00:00

  • Probiotics in Pediatric Gastroenterology: Emerging Indications: Inflammatory Bowel Diseases.

    abstract::Etiology of inflammatory bowel disease (IBD) is not yet completely understood, but it is hypothesized that a disruption of the immune tolerance to gut microbiota, due to several potential factors like an abnormal gut microbiota composition and activity, may lead to IBD occurrence. Manipulation of the intestinal microb...

    journal_title:Journal of clinical gastroenterology

    pub_type:

    doi:10.1097/MCG.0000000000001095

    authors: Scarpato E,Russo M,Staiano A

    更新日期:2018-11-01 00:00:00

  • A survey of hepatitis C treatment clinical practice patterns using the newly approved protease inhibitors.

    abstract:GOALS:To describe current hepatitis C virus (HCV) treatment practices in the United States and identify physician characteristics associated with the use of first generation direct-acting antivirals (DAAs). BACKGROUND:HCV treatment practice patterns have not been assessed after the introduction of DAA, which are now c...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0b013e31828a37c0

    authors: Chen EY,Lee WM,Hynan LS,Singal AG

    更新日期:2013-10-01 00:00:00

  • Surveillance for hepatocellular carcinoma in a Medicaid cirrhotic population.

    abstract:GOALS:To estimate the hepatocellular carcinoma surveillance in the Medicaid cirrhotic population. BACKGROUND:Most studies predate 2005 American Association for the Study of Liver Diseases surveillance recommendations and do not examine the primary target population, cirrhotics. STUDY:From 2006 to 2007, we identified ...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0b013e318286fd97

    authors: Palmer LB,Kappelman MD,Sandler RS,Hayashi PH

    更新日期:2013-09-01 00:00:00

  • Effects of radiation on the human gastrointestinal tract.

    abstract::Radiation therapy directed at the abdomen may damage the digestive tract, the type and extent of injury depending on the dose of the radiation and the radiation sensitivity of the gut. Characteristic early changes are manifest in the mucosa of the gut: for later ulceration, changes in the collagen tissues and particul...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/00004836-197903000-00003

    authors: Novak JM,Collins JT,Donowitz M,Farman J,Sheahan DG,Spiro HM

    更新日期:1979-03-01 00:00:00

  • Issues in hyperlipidemic pancreatitis.

    abstract::Hypertriglyceridemia (HTG) is a rare cause of pancreatitis. Pancreatitis secondary to HTG, presents typically as an episode of acute pancreatitis (AP) or recurrent AP, rarely as chronic pancreatitis. A serum triglyceride (TG) level of more than 1,000 to 2,000 mg/dL in patients with type I, IV, or V hyperlipidemia (Fre...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/00004836-200301000-00016

    authors: Yadav D,Pitchumoni CS

    更新日期:2003-01-01 00:00:00

  • Detailed history and examination assist positive clinical diagnosis of the irritable bowel syndrome.

    abstract::A detailed history and examination removes much of the vagueness from the symptoms of irritable bowel syndrome patients. The syndrome is much more homogeneous than suggested by the patient's complaints. Detailed questioning and examination contribute to further information in over two-thirds of patients. Examination r...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00004836-198312000-00005

    authors: Fielding JF

    更新日期:1983-12-01 00:00:00

  • Prevalence and pathogenesis of duodenal ulcer in chronic alcoholic pancreatitis.

    abstract:BACKGROUND:The prevalence of duodenal ulcer (DU) has been considered high in patients with chronic pancreatitis; however, its pathogenesis is unclear. We hypothesized that Helicobacter pylori infection plays the major pathogenetic role. STUDY:One hundred seven cases (97 men, 10 women) of chronic alcoholic pancreatitis...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00004836-200207000-00015

    authors: Chebli JM,de Souza AF,Gaburri PD,Bastos KV,Ribeiro TC,Filho RJ,Chebli LA,Castro Ferreira LE

    更新日期:2002-07-01 00:00:00

  • Ultrasound diagnosis of fatty liver in patients with chronic liver disease: a retrospective observational study.

    abstract:OBJECTIVES:Hepatic ultrasound (US) is readily available and physicians usually trust the results of an US report suggesting fatty liver, but there are conflicting reports on its accuracy, especially in patients with chronic liver disease (CLD). Therefore, we retrospectively examined liver biopsies in patients with CLD ...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/01.mcg.0000225680.45088.01

    authors: Perez NE,Siddiqui FA,Mutchnick MG,Dhar R,Tobi M,Ullah N,Saksouk FA,Wheeler DE,Ehrinpreis MN

    更新日期:2007-07-01 00:00:00

  • Rates of Suboptimal Preparation for Colonoscopy Differ Markedly Between Providers: Impact on Adenoma Detection Rates.

    abstract:GOALS:We sought to determine if providers who have higher standards for optimal bowel preparation might be more fastidious in their examination of the colon and, therefore, have higher adenoma detection rates (ADRs). BACKGROUND:ADRs are a reliable and objective marker of colonoscopy performance. Suboptimal bowel prepa...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0000000000000210

    authors: Mahadev S,Green PH,Lebwohl B

    更新日期:2015-10-01 00:00:00

  • Abdominal symptoms and food intolerance related to gallstones.

    abstract::We have evaluated the association between gallstones and abdominal symptoms, comparing two different study designs. We asked questions on abdominal pain, dyspeptic symptoms, and food intolerance in (1) surgery patients referred for conditions unrelated to gallstones, screened by ultrasound (screening study, n = 892, 6...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00004836-199810000-00009

    authors: Thijs C,Knipschild P

    更新日期:1998-10-01 00:00:00

  • Primary small bowel malignancies: single-center results of three decades.

    abstract::We highlight one medical center's experiences with primary malignancies of the small bowel. During a 27-year period, 79 patients were treated for small bowel tumors. Of these, 15 (20%) were lost to follow-up; thus, 64 patients were reviewed retrospectively with emphasis on histological distribution and their topograph...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00004836-200004000-00017

    authors: Ojha A,Zacherl J,Scheuba C,Jakesz R,Wenzl E

    更新日期:2000-04-01 00:00:00

  • Therapy of NAFLD: insulin sensitizing agents.

    abstract::Insulin resistance is an integral part of the underlying pathophysiology in most patients with nonalcoholic fatty liver disease (NAFLD). Insulin-sensitizing agents are therefore likely to be of key importance in the treatment of this disorder, especially in the histologically more severe form known as nonalcoholic ste...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mcg.0000168647.71411.48

    authors: Caldwell SH,Argo CK,Al-Osaimi AM

    更新日期:2006-03-01 00:00:00

  • Epidemiology and Diagnosis of Gastroparesis in the United States: A Population-based Study.

    abstract:GOALS:We aimed to establish the epidemiological characteristics and documentation of diagnostic workup for gastroparesis (GP). BACKGROUND:No study has used a national database to evaluate the prevalence, demographics, and associated comorbid conditions of GP, and document rates of proper diagnosis. MATERIALS AND METH...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0000000000001231

    authors: Syed AR,Wolfe MM,Calles-Escandon J

    更新日期:2020-01-01 00:00:00

  • Characterizing Abdominal Pain in Patients With Gastroparesis Into Neuropathic and Nociceptive Components.

    abstract:INTRODUCTION:The cause of abdominal pain (AP) in gastroparesis (Gp) is often not known; hence, its treatment can be challenging. Preoccupation with or increased attention (hypervigilance) to pain is associated with perceived pain severity and psychosocial disability. The aims of this study were to (1) characterize AP i...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0000000000001059

    authors: Jehangir A,Abdallah RT,Parkman HP

    更新日期:2019-07-01 00:00:00

  • Jejunal diverticulosis and gastrointestinal bleeding.

    abstract::Occult gastrointestinal bleeding frequently frustrates clinicians' attempts to locate the source. Foci of hemorrhage within the small bowel are often found only at laparotomy and can be attributed to Meckel's diverticula, carcinomas, or less frequently, pulsion-type diverticula. We report our experience with two patie...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/00004836-200111000-00014

    authors: Rodriguez HE,Ziauddin MF,Quiros ED,Brown AM,Podbielski FJ

    更新日期:2001-11-01 00:00:00

  • Positive predictive value of endoscopic features deemed typical of gastric fundic gland polyps.

    abstract:BACKGROUND:Fundic gland polyps (FGPs) are now the most common gastric polyp encountered by endoscopists. However, they have minimal clinical significance. If they could be reliably predicted by endoscopic features, it might prevent the need for and cost of biopsy. GOALS:To determine the positive predictive value of en...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00004836-200305000-00007

    authors: Weston BR,Helper DJ,Rex DK

    更新日期:2003-05-01 00:00:00

  • Ursodeoxycholic acid for adjuvant therapy with extracorporeal shock wave lithotripsy of gallstones.

    abstract::Extracorporeal shock wave lithotripsy (ESWL) of gallstones is a new and experimental treatment. Recent data seem to indicate that the use of ursodeoxycholic acid (UDCA) after ESWL may optimize the results of the shock wave treatment. Most of the published data on the clinical use of such therapy emanate from two studi...

    journal_title:Journal of clinical gastroenterology

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Fromm H

    更新日期:1988-01-01 00:00:00

  • Extraesophageal malignancies among patients with Barrett esophagus.

    abstract:GOALS:To evaluate the incidence of extraesophageal malignancies among patients with Barrett esophagus (BE). BACKGROUND:Gastroesophageal reflux disease has been reported to be associated with upper aerodigestive malignancies. BE is considered a consequence of long-standing gastroesophageal reflux disease; however, the ...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0b013e31828bf26f

    authors: Pines G,Dickman R,Niv Y,Kashtan H,Birkenfeld S

    更新日期:2014-01-01 00:00:00

  • Recurrent diverticulitis.

    abstract::The term "diverticulitis" indicates the inflammation of a diverticulum or diverticula, which is accompanied by detectable or microscopical perforation. Diverticulitis is a common condition with an estimated incidence of 25%. At present, elective sigmoid resection is recommended after 2 episodes of uncomplicated divert...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MCG.0b013e3181886ee4

    authors: Comparato G,Di Mario F,NDSG.

    更新日期:2008-11-01 00:00:00

  • Malignancy-related ascites and ascitic fluid "humoral tests of malignancy".

    abstract::A large number of ascitic fluid tests, e.g., fibronectin and cholesterol, have been proposed as helpful in detecting malignancy as the cause of ascites. Unfortunately, these "humoral tests of malignancy" are nonspecific. Although the ascitic fluid concentrations of these proteins or protein-bound substances tend to be...

    journal_title:Journal of clinical gastroenterology

    pub_type: 社论,评审

    doi:10.1097/00004836-199403000-00002

    authors: Runyon BA

    更新日期:1994-03-01 00:00:00

  • Safety of Propofol Used as a Rescue Agent During Colonoscopy.

    abstract:GOAL:The goal of this study was to evaluate the safety of propofol when used by gastroenterologists in patients who have an inadequate response to standard sedation (narcotics and benzodiazepines). BACKGROUND:Many patients fail to achieve adequate sedation from narcotics and benzodiazepines during colonoscopy. The adm...

    journal_title:Journal of clinical gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MCG.0000000000000445

    authors: Okeke FC,Shaw S,Hunt KK,Korsten MA,Rosman AS

    更新日期:2016-09-01 00:00:00