Cargando…
A systematic review of high-fibre dietary therapy in diverticular disease
PURPOSE: The exact pathogenesis of diverticular disease of the sigmoid colon is not well established. However, the hypothesis that a low-fibre diet may result in diverticulosis and a high-fibre diet will prevent symptoms or complications of diverticular disease is widely accepted. The aim of this re...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3308000/ https://www.ncbi.nlm.nih.gov/pubmed/21922199 http://dx.doi.org/10.1007/s00384-011-1308-3 |
_version_ | 1782227375408283648 |
---|---|
author | Ünlü, Cagdas Daniels, Lidewine Vrouenraets, Bart C. Boermeester, Marja A. |
author_facet | Ünlü, Cagdas Daniels, Lidewine Vrouenraets, Bart C. Boermeester, Marja A. |
author_sort | Ünlü, Cagdas |
collection | PubMed |
description | PURPOSE: The exact pathogenesis of diverticular disease of the sigmoid colon is not well established. However, the hypothesis that a low-fibre diet may result in diverticulosis and a high-fibre diet will prevent symptoms or complications of diverticular disease is widely accepted. The aim of this review is to assess whether a high-fibre diet can improve symptoms and/or prevent complications of diverticular disease of the sigmoid colon and/or prevent recurrent diverticulitis after a primary episode. METHODS: Clinical studies were eligible for inclusion if they assessed the treatment of diverticular disease or the prevention of recurrent diverticulitis with a high-fibre diet. The following exclusion criteria were used for study selection: studies without comparison of the patient group with a control group. RESULTS: No studies concerning prevention of recurrent diverticulitis with a high-fibre diet met our inclusion criteria. Three randomised controlled trials (RCT) and one case–control study were included in this systematic review. One RCT of moderate quality showed no difference in the primary endpoints. A second RCT of moderate quality and the case–control study found a significant difference in favour of a high-fibre diet in the treatment of symptomatic diverticular disease. The third RCT of moderate quality found a significant difference in favour of methylcellulose (fibre supplement). This study also showed a placebo effect. CONCLUSION: High-quality evidence for a high-fibre diet in the treatment of diverticular disease is lacking, and most recommendations are based on inconsistent level 2 and mostly level 3 evidence. Nevertheless, high-fibre diet is still recommended in several guidelines. |
format | Online Article Text |
id | pubmed-3308000 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-33080002012-03-22 A systematic review of high-fibre dietary therapy in diverticular disease Ünlü, Cagdas Daniels, Lidewine Vrouenraets, Bart C. Boermeester, Marja A. Int J Colorectal Dis Review PURPOSE: The exact pathogenesis of diverticular disease of the sigmoid colon is not well established. However, the hypothesis that a low-fibre diet may result in diverticulosis and a high-fibre diet will prevent symptoms or complications of diverticular disease is widely accepted. The aim of this review is to assess whether a high-fibre diet can improve symptoms and/or prevent complications of diverticular disease of the sigmoid colon and/or prevent recurrent diverticulitis after a primary episode. METHODS: Clinical studies were eligible for inclusion if they assessed the treatment of diverticular disease or the prevention of recurrent diverticulitis with a high-fibre diet. The following exclusion criteria were used for study selection: studies without comparison of the patient group with a control group. RESULTS: No studies concerning prevention of recurrent diverticulitis with a high-fibre diet met our inclusion criteria. Three randomised controlled trials (RCT) and one case–control study were included in this systematic review. One RCT of moderate quality showed no difference in the primary endpoints. A second RCT of moderate quality and the case–control study found a significant difference in favour of a high-fibre diet in the treatment of symptomatic diverticular disease. The third RCT of moderate quality found a significant difference in favour of methylcellulose (fibre supplement). This study also showed a placebo effect. CONCLUSION: High-quality evidence for a high-fibre diet in the treatment of diverticular disease is lacking, and most recommendations are based on inconsistent level 2 and mostly level 3 evidence. Nevertheless, high-fibre diet is still recommended in several guidelines. Springer-Verlag 2011-09-16 2012 /pmc/articles/PMC3308000/ /pubmed/21922199 http://dx.doi.org/10.1007/s00384-011-1308-3 Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Review Ünlü, Cagdas Daniels, Lidewine Vrouenraets, Bart C. Boermeester, Marja A. A systematic review of high-fibre dietary therapy in diverticular disease |
title | A systematic review of high-fibre dietary therapy in diverticular disease |
title_full | A systematic review of high-fibre dietary therapy in diverticular disease |
title_fullStr | A systematic review of high-fibre dietary therapy in diverticular disease |
title_full_unstemmed | A systematic review of high-fibre dietary therapy in diverticular disease |
title_short | A systematic review of high-fibre dietary therapy in diverticular disease |
title_sort | systematic review of high-fibre dietary therapy in diverticular disease |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3308000/ https://www.ncbi.nlm.nih.gov/pubmed/21922199 http://dx.doi.org/10.1007/s00384-011-1308-3 |
work_keys_str_mv | AT unlucagdas asystematicreviewofhighfibredietarytherapyindiverticulardisease AT danielslidewine asystematicreviewofhighfibredietarytherapyindiverticulardisease AT vrouenraetsbartc asystematicreviewofhighfibredietarytherapyindiverticulardisease AT boermeestermarjaa asystematicreviewofhighfibredietarytherapyindiverticulardisease AT unlucagdas systematicreviewofhighfibredietarytherapyindiverticulardisease AT danielslidewine systematicreviewofhighfibredietarytherapyindiverticulardisease AT vrouenraetsbartc systematicreviewofhighfibredietarytherapyindiverticulardisease AT boermeestermarjaa systematicreviewofhighfibredietarytherapyindiverticulardisease |