Diagnosis and management of diverticular disease in primary care.
| Autor: | Pateneaude C, Lyden C |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | The Nurse practitioner [Nurse Pract] 2024 Nov 01; Vol. 49 (11), pp. 23-29. Date of Electronic Publication: 2024 Oct 29. |
| DOI: | 10.1097/01.NPR.0000000000000243 |
| Abstrakt: | Abstract: Each year, more than 1 million ambulatory patient visits occur for diverticular disease, with nearly 75% of these patients seen in outpatient clinics. Although diverticulitis historically had been considered a disease of the older adult, it has become increasingly prevalent among the younger population. Likewise, in the past, antibiotics were considered first-line treatment for uncomplicated diverticulitis (Hinchey classification 0 and Ia); however, two large clinical trials compared treatment with antibiotics versus without antibiotics in uncomplicated cases of the disease and found no significant difference in patient outcomes. Based on these findings, first-line management now constitutes clear-liquid diet along with bowel rest for resolution of symptoms in these patients. Proper management with lifestyle modifications can help prevent complications and improve outcomes for patients with this condition; patient education is therefore critical. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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