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Article 16, 4/2018


Diagnosis and Treatment of Colonic Diverticular Disease: Position Paper of the Romanian Society of Gastroenterology and Hepatology
Anca Trifan1, Cristian Gheorghe2, Cristina Marica Sabo3, Mircea Diculescu2, Laurențiu Nedelcu⁴, Ana Maria Singeap1, Cătălin Sfarti1, Liana Gheorghe2, Ioan Sporea5, Marcel Tanțău6, Viorel Scripcariu1, Adrian Goldiș5, Dan Gheonea7, Mircea Manuc2, Carol Stanciu1, Carmelo Scarpignato8, Dan L. Dumitrașcu3

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1) Grigore T. Popa University of Medicine and Pharmacy, Dept. Gastroenterology, Iasi;
2) Center of Gastroenterology, Fundeni Hospital, Carol Davila University of Medicine and Pharmacy Bucharest;
3) Iuliu Hatieganu University of Medicine and Pharmacy, 2nd Medical Dept. Cluj-Napoca;
4) Transilvania University, Dept. Internal Medicine, Brasov;
5) Victor Babeș University of Medicine and Pharmacy, Dept. Gastroenterology and Hepatology, Timișoara
6) Iuliu Hatieganu University of Medicine and Pharmacy, Prof. Octavian Fodor Institute of Gastroenterology and Hepatology Cluj-Napoca;
7) University of Medicine and Pharmacy, Dept. Gastroenterology, Craiova, Romania
8) Clinical Pharmacology and Digestive Pathophysiology Unit, Dept.Clinical and Experimental Medicine, University of Parma, Italy

DOI: http://dx.doi.org/10.15403/jgld.2014.1121.274.rom


Background & Aims: Diverticular disease of the colon is a common clinical condition in developed countries, and is associated with significant (direct and indirect) economic burden. The aim of this Position Paper is to provide clinical guidance for appropriate definition, prevalence, risk factors, diagnosis, and treatment of colonic diverticular disease.
Methods: A working group of recognized experts established by the Board of the Romanian Society of Gastroenterology and Hepatology (RSGH) screened the literature and the available guidelines on colonic diverticular disease. Statements were formulated based on literature evidence. These statements were discussed within the working group and decision for each of them was taken by consensus.
Results: Thirty two statements were elaborated. The grade of recommendation, according to the level of evidence was established for each statement. Short comments with literature support accompany each statement.
Conclusion: This Position Paper represents a practical guide for clinicians dealing with patients affected by colonic diverticular disease.
Key words: colonic diverticulosis – diverticular disease – acute diverticulitis.
Abbreviations: AD: acute diverticulitis; CD: colonic diverticulosis; CEUS : contrast enhanced ultrasonography; CTC: computed tomography colonography; DCBE: double contrast barium enema; DD: diverticular disease; EL: evidence level; IBD: inflammatory bowel disease; IBS: irritable bowel syndrome; MRC: Magnetic resonance colonography; RG: recommendation grade; RSGH: Romanian Society of Gastroenterology and Hepatology; SCAD: segmental colitis associated