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高纤维饮食能预防憩室病的并发症吗?

Does a high fibre diet prevent the complications of diverticular disease?

作者信息

Hyland J M, Taylor I

出版信息

Br J Surg. 1980 Feb;67(2):77-9. doi: 10.1002/bjs.1800670202.

DOI:10.1002/bjs.1800670202
PMID:6244871
Abstract

The management of diverticular disease has altered radically with the widespread use of high fibre diet (HFD) over the past decade. However, whether this regimen has improved the prognosis in patients admitted with acute complications is still debatable. In this study the outcome of 100 such patients admitted to hospital with acute episodes of diverticular disease has been reviewed. Seventy-five per cent were treated conservatively with HFD and review after 5--7 years showed that over 90 per cent remained symptom-free, suggesting that HFD may afford protection by preventing further complications.

摘要

在过去十年中,随着高纤维饮食(HFD)的广泛应用,憩室病的治疗方法发生了根本性的改变。然而,这种治疗方案是否改善了急性并发症患者的预后仍存在争议。在本研究中,回顾了100例因憩室病急性发作入院的此类患者的治疗结果。75%的患者接受了高纤维饮食的保守治疗,5至7年后的复查显示,超过90%的患者仍无症状,这表明高纤维饮食可能通过预防进一步的并发症起到保护作用。

相似文献

1
Does a high fibre diet prevent the complications of diverticular disease?高纤维饮食能预防憩室病的并发症吗?
Br J Surg. 1980 Feb;67(2):77-9. doi: 10.1002/bjs.1800670202.
2
The treatment of uncomplicated diverticular disease of the colon with a high fibre diet.用高纤维饮食治疗单纯性结肠憩室病。
Acta Chir Belg. 1979 Nov-Dec;78(6):359-68.
3
High fibre diet in symptomatic diverticular disease of the colon.高纤维饮食与结肠症状性憩室病
Ann R Coll Surg Engl. 1985 May;67(3):173-4.
4
Are fibre supplements really necessary in diverticular disease of the colon?膳食纤维补充剂对结肠憩室病真的有必要吗?
Br Med J (Clin Res Ed). 1981 May 16;282(6276):1629-30. doi: 10.1136/bmj.282.6276.1629-d.
5
Are fibre supplements really necessary in diverticular disease.膳食纤维补充剂在憩室病中真的有必要吗?
Br Med J (Clin Res Ed). 1981 Jul 11;283(6284):140. doi: 10.1136/bmj.283.6284.140-a.
6
Dietary fibre and asymptomatic diverticular disease of the colon.膳食纤维与结肠无症状憩室病
Proc Nutr Soc. 1978 May;37(1):13A.
7
Dietary fiber and diverticular disease.膳食纤维与憩室病
Hosp Pract. 1976 Mar;11(3):119-24. doi: 10.1080/21548331.1976.11706919.
8
Are fibre supplements really necessary in diverticular disease of the colon? A controlled clinical trial.膳食纤维补充剂对结肠憩室病真的有必要吗?一项对照临床试验。
Br Med J (Clin Res Ed). 1981 Apr 25;282(6273):1353-6. doi: 10.1136/bmj.282.6273.1353.
9
[Why, when and how dietary fiber will be used in gastrointestinal disorders (author's transl)].膳食纤维在胃肠道疾病中的应用时机、原因及方式(作者译)
Nouv Presse Med. 1978 Apr 8;7(14):1195-8.
10
Diverticular disease of the colon. The first of the Western diseases shown to be due to a deficiency of dietary fibre.结肠憩室病。第一种被证明是由于膳食纤维缺乏引起的西方疾病。
S Afr Med J. 1982 Jun 26;61(26):1016-20.

引用本文的文献

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Role of Fiber in Symptomatic Uncomplicated Diverticular Disease: A Systematic Review.膳食纤维在症状性单纯性憩室病中的作用:一项系统评价
Nutrients. 2017 Feb 20;9(2):161. doi: 10.3390/nu9020161.
2
Risk Factors for Diverticulosis, Diverticulitis, Diverticular Perforation, and Bleeding: A Plea for More Subtle History Taking.憩室病、憩室炎、憩室穿孔和出血的危险因素:呼吁进行更细致的病史采集。
Viszeralmedizin. 2015 Apr;31(2):84-94. doi: 10.1159/000381867. Epub 2015 Apr 29.
3
New strategies for the management of diverticular disease: insights for the clinician.
治疗憩室病的新策略:临床医生的新视角。
Therap Adv Gastroenterol. 2013 May;6(3):205-13. doi: 10.1177/1756283X13478679.
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Systematic review of medical therapy to prevent recurrent diverticulitis.系统评价预防复发性憩室炎的医学治疗方法。
Int J Colorectal Dis. 2012 Sep;27(9):1131-6. doi: 10.1007/s00384-012-1486-7. Epub 2012 May 11.
5
A systematic review of high-fibre dietary therapy in diverticular disease.膳食纤维饮食疗法治疗憩室病的系统评价。
Int J Colorectal Dis. 2012 Apr;27(4):419-27. doi: 10.1007/s00384-011-1308-3. Epub 2011 Sep 16.
6
The medical and nonoperative treatment of diverticulitis.憩室炎的药物治疗及非手术治疗
Clin Colon Rectal Surg. 2009 Aug;22(3):156-60. doi: 10.1055/s-0029-1236159.
7
Prospective randomized clinical trial assessing the efficacy of a short course of intravenously administered amoxicillin plus clavulanic acid followed by oral antibiotic in patients with uncomplicated acute diverticulitis.前瞻性随机临床试验评估静脉给予阿莫西林克拉维酸短疗程后口服抗生素治疗单纯性急性憩室炎的疗效。
Int J Colorectal Dis. 2010 Nov;25(11):1363-70. doi: 10.1007/s00384-010-0967-9. Epub 2010 Jun 5.
8
Physical activity decreases diverticular complications.体育活动可降低憩室并发症的发生。
Am J Gastroenterol. 2009 May;104(5):1221-30. doi: 10.1038/ajg.2009.121. Epub 2009 Apr 14.
9
Therapeutic role of dietary fibre.膳食纤维的治疗作用。
Can Fam Physician. 1993 Apr;39:897-900, 903-10.
10
Long-term outcome of patients presenting with acute complications of diverticular disease.患有憩室病急性并发症患者的长期预后。
Ann R Coll Surg Engl. 1994 Mar;76(2):117-20.