Distinguishing features between patients with acute diverticulitis and diverticular bleeding: Results from the REMAD registry

Carabotti, Marilia; Labate, Antonio Maria Morselli; Cremon, Cesare; Cuomo, Rosario; Pace, F.; Andreozzi, Paolo; Falangone, Francesca; Barbara, Giovanni; Annibale, Bruno; Andrealli, Alida; Andriulli, Angelo; Ardizzone, Sandro; Astegiano, Marco; Bachetti, Francesco; Bartolozzi, S.; Bargiggia, S.; Bassotti, Gabrio; Bianco, Maria Antonia; Binda, Gian Andrea; Biscaglia, Giuseppe; Bosani, M.; Bottiglieri, Maria Erminia; Cargiolli, Martina; Ciacci, Carolina; Colecchia, Antonio; Dell’Era, Alessandra; Matthaeis, M. De; Ciaula, Agostino Di; Ruscio, Mirko Di; Dinelli, M.; Festa, V.; Festi, Davide; Galliani, E.; Germanà, B.; Grassini, Mario; Guido, Ennio; Iafrate, Franco; Iovino, Paola; Iuliano, D.; Laghi, Andrea; Latella, Giovanni; Manes, G.; Marabotto, Elisa; Marchi, Santino; Mauro, Biagio; Maurano, Attilio; Moscatelli, Alessandro; Nascimbeni, Riccardo; Neri, Matteo; Occhipinti, Pietro; Parravicini, M.; Pennazio, Marco; Peralta, Sergio; Portincasa, Piero; Radaelli, Franco; Reati, R.; Redaelli, A.; Rossi, Marco; Salerno, R.; Savarino, Vincenzo; Segato, Sergio; Severi, Carola; Scaccianoce, Giuseppe; Usai, Paolo; Valle, Valentina; Virgilio, Clara

doi:10.1016/j.dld.2020.05.045

Cited by 6 publications

(2 citation statements)

References 34 publications

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“…Data were obtained from the Diverticular Disease Registry (REMAD), promoted by the Italian Study Group on Diverticular Disease (GrIMAD). As previously reported, the REMAD registry is a 5-year prospective, observational, multicentre cohort study, primarily aimed at investigating the natural history of asymptomatic diverticulosis and diverticular disease [13][14][15]. Study methods were extensively reported in previous publications [13][14][15].…”

Section: Methodsmentioning

confidence: 99%

“…As previously reported, the REMAD registry is a 5-year prospective, observational, multicentre cohort study, primarily aimed at investigating the natural history of asymptomatic diverticulosis and diverticular disease [13][14][15]. Study methods were extensively reported in previous publications [13][14][15]. Briefly, 1217 patients with DD were consecutively enrolled by 47 Italian centres during the two-month recruitment period.…”

Section: Methodsmentioning

confidence: 99%

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Patients with Diverticular Disease Have Different Dietary Habits Compared to Control Subjects: Results from an Observational Italian Study

et al. 2023

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The role of dietary habits as risk factor for the development of diverticular complications has strongly emerged in the last years. We aimed to evaluate possible differences in dietary habits between patients with diverticular disease (DD) and matched controls without diverticula. Dietary habits were obtained from standardized food frequency questionnaires collected at entry to the Diverticular Disease Registry (REMAD). We compared controls (C) (n = 119) with asymptomatic diverticulosis (D) (n = 344), symptomatic uncomplicated diverticular disease (SUDD) (n = 154) and previous diverticulitis (PD) (n = 83) patients, in terms of daily calories, macro and micronutrients and dietary vitamins. Daily kcal intake and lipids, both saturated and unsaturated, were significantly lower in patients with DD than C. Total protein consumption was lower in PD than D, with differing consumption of unprocessed red meat, white meat and eggs between groups. Consumption of fibre, both soluble and insoluble, was lower in patients with PD compared to patients with SUDD, D and C, whereas dietary vitamins A, C, D and E and Oxygen Radical Adsorbance Capacity index were lower in all DD groups compared to C. This observational study showed that DD patients have different dietary habits, mainly in terms of caloric, fat, fibre and vitamin intake, compared to control subjects.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Patients with Diverticular Disease Have Different Dietary Habits Compared to Control Subjects: Results from an Observational Italian Study

et al. 2023

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Diverticular Bleeding

Picchio,

Yamada

2022

Colonic Diverticular Disease

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Site and duration of abdominal pain discriminate symptomatic uncomplicated diverticular disease from previous diverticulitis patients

Carabotti,

Marasco,

Sbarigia

et al. 2024

Intern Emerg Med

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Abdominal pain in patients with diverticular disease (DD) can be challenging in clinical practice. Patients with symptomatic uncomplicated diverticular disease (SUDD) and patients with a previous acute diverticulitis (PD) may share a similar clinical pattern, difficult to differentiate from irritable bowel syndrome (IBS). We used standardized questionnaires for DD (short and long lasting abdominal pain) and IBS (following Rome III Criteria) to assess clinical features of abdominal pain, in terms of presence, severity and length, in SUDD and PD patients. One hundred and forty-eight SUDD and 118 PD patients completed all questionnaires. Short-lasting pain was more frequent in SUDD than PD patients (p = 0.007). Number of long-lasting pain episodes was higher in SUDD (6.6 ± 11.9) compared to PD patients (3.4 ± 6.9) (p < 0.001). PD patients reported long-lasting pain more frequently in the lower left abdomen (p < 0.001), while in SUDD it was more frequently diffuse (p = 0.002) or localized in the lower right quadrant (p = 0.009). Features associated with long-lasting pain (fever, confinement to bed, consultations, antibiotic therapy, hospitalization) were more often reported in PD patients. IBS criteria were reported in 28.2% of patients and were more frequent in SUDD than PD patients (37.2% vs 17.1%, p < 0.001). SUDD and PD patients presented different pattern of abdominal pain (length, number of long lasting episodes, site and associated features), with a third reporting overlap with IBS. Further observational studies are needed to better characterize abdominal symptoms in DD patients, especially in those not fulfilling IBS criteria.Trial registration: The REMAD Registry is registered as an observational study in ClinicalTrial.gov (ID: NCT03325829).

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Distinguishing features between patients with acute diverticulitis and diverticular bleeding: Results from the REMAD registry

Cited by 6 publications

References 34 publications

Patients with Diverticular Disease Have Different Dietary Habits Compared to Control Subjects: Results from an Observational Italian Study

Patients with Diverticular Disease Have Different Dietary Habits Compared to Control Subjects: Results from an Observational Italian Study

Diverticular Bleeding

Site and duration of abdominal pain discriminate symptomatic uncomplicated diverticular disease from previous diverticulitis patients

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