دورية أكاديمية
What’s New in Diagnosing Diverticular Disease
| العنوان: | What’s New in Diagnosing Diverticular Disease |
|---|---|
| المؤلفون: | Štimac, Davor, Nardone, Gerardo, Mazzari, Andrea, Crucitti, Antonio, Maconi, Giovanni, Elisei, Walter, Violi, Alessandra, Tursi, Antonio, Di Mario, Francesco |
| المصدر: | https://www.jgld.ro/jgld/public/public/Supplements/supplement_2019_4_553.pdfTest ; Journal of Gastrointestinal and Liver Diseases ; Volume 28 ; Issue Suppl. 4 ; ISSN 1841-8724 (Print) ; ISSN 1842-1121 (Online. |
| سنة النشر: | 2019 |
| المجموعة: | Repository of the University of Rijeka |
| مصطلحات موضوعية: | BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Interna medicina, BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Internal Medicine, diverticular disease, acute diverticulitis, colonoscopy, DICA classification, computer tomography, ultrasonography, fecal calprotectin |
| الوصف: | In this session different issues for the diagnosis of diverticular disease (DD) were considered including “Biomarkers”, “Computer tomography”, “Ultrasonography in detecting acute diverticulitis”, “Endoscopy” and “The DICA classification: a new predictive tool in managing diverticular disease”. Most patients affected by DD suffer from recurrent attacks of abdominal pain without evidence of an active inflammatory process, causing a difficult differential diagnosis with other intestinal conditions. Several biomarkers, serological, fecal, urinary and genetic were considered, but recent studies confirmed that only CRP and fecal calprotectin are matching with the criteria for an ideal biomarker for DD. Colonoscopy still remains the gold standard for the diagnosis of DD, playing a key role in many clinical settings, such as colonic diverticular bleeding, or to differentiate inflammatory bowel disease (IBD) and segmental colitis associated with diverticulosis (SCAD); Moreover, in 2015 has been developed the DICA (Diverticular Inflammation and Complication Assessment) endoscopic classification that considers 10 different parameters, each one with a score, and the sum of items scores represents the severity of the disease; in this way the endoscopic exam would be able to predict the outcome of DD for each patient. On the other hand, computer tomography (CT) is the gold standard for acute diverticulitis (AD) with an excellent sensitivity and specificity; recently, metanalysis of prospective studies have shown that intestinal ultrasonography (IUS) and CT have the same sensitivity for the diagnosis of an AD and the advantage is that IUS is less expensive, non-invasive and easily accessible. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | Sveučilište u Rijeci. Medicinski fakultet. Katedra za internu medicinu.; University of Rijeka. Faculty of Medicine. Department of Internal Medicine.; https://www.unirepository.svkri.uniri.hr/islandora/object/medri:3406Test; https://urn.nsk.hr/urn:nbn:hr:184:323951Test; https://www.unirepository.svkri.uniri.hr/islandora/object/medri:3406/datastream/FILE0Test |
| الإتاحة: | https://doi.org/10.15403/jgld-553Test https://www.unirepository.svkri.uniri.hr/islandora/object/medri:3406Test https://urn.nsk.hr/urn:nbn:hr:184:323951Test https://www.unirepository.svkri.uniri.hr/islandora/object/medri:3406/datastream/FILE0Test |
| حقوق: | info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: | edsbas.293C78A2 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |