Servicio de Cirugía General y Digestiva, Consorci Sanitari Alt Penedes-Garraf, Barcelona, España.
Servicio de Cirugía General y Digestiva, Consorci Sanitari Alt Penedes-Garraf, Barcelona, España.
Gastroenterol Hepatol. 2021 Aug-Sep;44(7):497-518. doi: 10.1016/j.gastrohep.2020.12.016. Epub 2021 Feb 26.
Symptomatic uncomplicated diverticular colon disease (SUDCD) is a highly prevalent disease in our setting, which significantly affects the quality of life of patients. Recent changes in understanding the natural history of this disease and technological and pharmacological advances have increased the available options for both diagnosis and treatment. However, consensus regarding the use of these options is scarce and sometimes lacks scientific evidence. The objective of this systematic review is to clarify the existing scientific evidence and analyse the use of the different diagnostic and therapeutic options for SUDCD, comparing their advantages and disadvantages, to finally suggest a diagnostic-therapeutic algorithm for this pathology and, at the same time, propose new research questions.
症状性单纯性憩室结肠病（SUDCD）在我国是一种高发疾病，严重影响患者的生活质量。最近对该病自然史的认识发生了变化，技术和药理学方面的进步也增加了可供选择的诊断和治疗方法。但是，对于这些方法的使用，共识很少，有时甚至缺乏科学证据。本系统评价的目的是阐明现有的科学证据，并分析 SUDCD 的不同诊断和治疗选择的使用情况，比较其优缺点，最终为该病理提出一个诊断-治疗算法，并同时提出新的研究问题。
