The Mexican consensus on the diagnosis and treatment of diverticular disease of the colon

被引：9

作者：

Rana-Garibay, R. ^{[1
]}

Salgado-Nesme, N. ^{[2
]}

Carmona-Sanchez, R. ^{[3
]}

Remes-Troche, J. M. ^{[4
]}

Aguilera-Carrera, J. ^{[5
]}

Alonso-Sanchez, L. ^{[1
]}

Arnaud-Carreno, C. ^{[6
]}

Charua-Guindic, L. ^{[7
]}

Coss-Adame, E. ^{[8
,9
]}

de la Torre-Bravo, A. ^{[10
]}

Espinosa-Medina, D. ^{[11
]}

Esquivel-Ayanegui, F. ^{[12
]}

Roesch-Dietlen, F. ^{[13
]}

Lopez-Colombo, A. ^{[14
]}

Munoz-Torres, J. I. ^{[15
]}

Noble-Lugo, A. ^{[1
]}

Rojas-Mendoza, F. ^{[16
]}

Suazo-Barahona, J. ^{[17
]}

Stoopen-Rometti, M. ^{[18
]}

Torres-Flores, E. ^{[19
]}

Vallejo-Soto, M. ^{[20
]}

Vergara-Fernandez, O. ^{[2
]}

机构：

[1] Hosp Espanol, Mexico City, DF, Mexico

[2] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Div Cirugia, Mexico City, DF, Mexico

[3] Unidad Med Ambulatoria Christus Muguerza, San Luis Potosi, Slp, Mexico

[4] Univ Veracruzana, Lab Fisiol Digest & Motilidad Gastrointestinal, Inst Invest Med Biol, Xalapa, Veracruz, Mexico

[5] Hosp Especialidades Med Salud, San Luis Potosi, Slp, Mexico

[6] Hosp Gen Dr Aurelio Valdivieso, Dept Cirugia, Secretaria Salud Estado Oaxaca, Oaxaca, Oaxaca, Mexico

[7] Hosp Angeles Lomas, Mexico City, DF, Mexico

[8] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Gastroenterol, Mexico City, DF, Mexico

[9] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Lab Motilidad Gastrointestinal, Mexico City, DF, Mexico

[10] Hosp Angeles Metropolitano, Mexico City, DF, Mexico

[11] Hosp Star Med, Merida, Yucatan, Mexico

[12] Hosp Gen Dr Miguel Silva, Secretaria Salud Michoacan, Morelia, Michoacan, Mexico

[13] Univ Veracruzana, Inst Invest Med Biol, Xalapa, Veracruz, Mexico

[14] UMAE Hosp Especialidades CMN Manuel Avila Camacho, Direccc Educ & Invest, Inst Mexicano Seguro Social, Puebla, Mexico

[15] Univ Autonoma Baja California, Fac Med, Mexicali, BC, Mexico

[16] Hosp Med Sur, Mexico City, DF, Mexico

[17] Hosp Valle, Ctr Enfermedades Digest, San Pedro Sula, Honduras

[18] CT Scanner Lomas Altas, Dept Radiol & Imagen, Mexico City, DF, Mexico

[19] Inst Mexicano Seguro Social, Hosp Gen Zona 1, Pachuca, Hidalgo, Mexico

[20] Hosp Angeles, Queretaro, Queretaro, Mexico

来源：

REVISTA DE GASTROENTEROLOGIA DE MEXICO | 2019年 / 84卷 / 02期

关键词：

Diverticula; Diverticulitis; Mexico; Colon; Disease; Consensus; THERAPEUTIC BARIUM ENEMA; RISK-FACTORS; UNCOMPLICATED DIVERTICULITIS; COMPLICATED DIVERTICULITIS; PERFORATED DIVERTICULITIS; OUTPATIENT MANAGEMENT; LAPAROSCOPIC LAVAGE; ROUTINE COLONOSCOPY; HARTMANNS PROCEDURE; PRACTICE PARAMETERS;

D O I：

10.1016/j.rgmx.2019.01.002

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Since the publication of the 2008 guidelines on the diagnosis and treatment of diverti cuter disease of the colon by the Asociacion Mexicana de Gast roenterologia, significant advances have been made in the knowledge of that disease. A systematic review of articles published in the medical literature from January 2008 to July 2018 was carried out to revise and update the 2008 guidelines and provide new evidence-based recommendations. All high-quality articles in Spanish and English published within that time frame were included. The final versions of the 43 statements accepted in the three rounds of voting, utilizing the Delphi method, were written, and the quality of evidence and strength of the recommendations were established for each statement, utilizing the GRADE system. The present consensus contains new data on the definition, classification, epidemiology, pathophysiology, and risk factors of diverticular disease of the colon. Special emphasis is given to the usefulness of computed tomography and colonoscopy, as well as to the endoscopic methods for controlling bleeding. Outpatient treatment of uncomplicated diverticulitis is discussed, as well as the role of rifaximin and mesalazine in the management of complicated acute diverticulitis. Both its minimally invasive alternatives and surgical options are described, stressing their indications, limitations, and contraindications. The new statements provide guidelines based on updated scientific evidence. Each statement is discussed, and its quality of evidence and the strength of the recommendation are presented. (C) 2019 Asociacion Mexicana de Gastroenterologia. Published by Masson Doyma Mexico S.A. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

引用

页码：220 / 240

页数：21

共 144 条

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