Current Guidelines and Controversies in the Management of Diverticulitis

Meli, Sofia Bertoloni; Hughes, Tyler G.

doi:10.1007/s40138-021-00240-x

Cited by 1 publication

(2 citation statements)

References 39 publications

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“…The historical context of diverticular disease appears to continue to influence the collective consciousness. Until only recently, patients were advised to avoid nuts, seeds, and red meat as they were theorised to be triggers for acute diverticulitis [25]. Modern research has debunked such theories, with studies finding no association between red meat and diverticulitis incidence, and a high intake of nuts and seeds being associated with a decreased risk of diverticulitis [25].…”

Section: Discussionmentioning

confidence: 99%

“…Until only recently, patients were advised to avoid nuts, seeds, and red meat as they were theorised to be triggers for acute diverticulitis [25]. Modern research has debunked such theories, with studies finding no association between red meat and diverticulitis incidence, and a high intake of nuts and seeds being associated with a decreased risk of diverticulitis [25]. While long-term dietary behaviours likely influence the risk of diverticulitis, dominant risk factors are not diet related and include smoking, body weight, age, sex, medications, and alcohol consumption [26].…”

Section: Discussionmentioning

confidence: 99%

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Fear of Food in Gastrointestinal Disease: A Framework Based on the Interpreted Experiences of Adults with Diverticular Disease

Marshall,

Eberhardt,

Dalwood

et al. 2024

Dietetics

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The patient voice is missing from the evidence regarding the dietary management of diverticular disease. This study aimed to determine the patient experiences of imposed dietary restrictions during the medical treatment of acute, uncomplicated diverticulitis. An Interpretive Phenomenological Analysis methodology guided participant selection, data collection, and the data analysis of a qualitative interview study. Four interviews were conducted with adults admitted to hospital with acute, uncomplicated diverticulitis. Six themes were interpreted. Five themes were found to inter-relate as a cycle, which was embedded within a driving theme of ‘corrupted diet-disease knowledge of patients, family, and healthcare providers’. The cycle commenced with a theme of ‘fear of food’, which was followed by the theme of an ‘internal locus of control with rigid constraint’. ‘Loss of culture and social stigma’ ensued, which led to ‘vulnerability amid self-perceived failure’, and finally ‘overshadowed psychological pain’. The cycle recommenced with a renewed fear of food. The thematic phenomenon of the ‘Fear of Food in Gastrointestinal Disease Framework’ was developed. Adults with diverticular disease and at least one hospitalisation for acute, uncomplicated diverticulitis were interpreted to experience a cyclical thematic phenomenon represented by the ‘Fear of Food in Gastrointestinal Disease Framework’. Further qualitative research is required to evaluate the transferability of the framework to other conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%