Barret Maximilien, Abbes Leila, Zinzindohoué Franck
Service d'hépato-gastroentérologie et endoscopie digestive, service de chirurgie digestive, Hôpital européen Georges-Pompidou, AP-HP, 75015 Paris, France.
Rev Prat. 2013 Jun;63(6):830-3.
Currently published data do not demonstrate the benefit of any medical treatment in the prevention of the onset or the recurrence of colonic diverticular disease. No specific diet can be recommended to patients with colonic diverticula for the prevention of diverticular disease. Non steroidal anti-inflammatory drugs as well as corticosteroids should be used cautiously in patients with diverticular disease since they induce a higher rate of complications, especially diverticular haemorrhage and severe sigmoid diverticulitis. In patients over 50 years old, or if a sigmoidectomy is needed, physicians should perform a colonoscopy in order to rule out colonic polyps or neoplasm.
目前已发表的数据并未表明任何医学治疗在预防结肠憩室病的发生或复发方面具有益处。对于患有结肠憩室的患者,无法推荐特定饮食用于预防憩室病。非甾体类抗炎药以及皮质类固醇在憩室病患者中应谨慎使用,因为它们会导致更高的并发症发生率,尤其是憩室出血和严重的乙状结肠憩室炎。对于50岁以上的患者,或者如果需要进行乙状结肠切除术,医生应进行结肠镜检查以排除结肠息肉或肿瘤。