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Role of Fiber in Symptomatic Uncomplicated Diverticular Disease: A Systematic Review
- Source :
- Nutrients, Vol 9, Iss 2, p 161 (2017), Nutrients, Nutrients, 9(2):161
- Publication Year :
- 2017
- Publisher :
- MDPI AG, 2017.
-
Abstract
- Symptomatic uncomplicated diverticular disease (SUDD) is a syndrome characterized by recurrent abdominal symptoms in patients with colonic diverticula. There is some evidence that a high-fiber diet or supplemental fibers may reduce symptoms in SUDD patients and a high-fiber diet is commonly suggested for these patients. This systematic review aims to update the evidence on the efficacy of fiber treatment in SUDD, in terms of a reduction in symptoms and the prevention of acute diverticulitis. According to PRISMA, we identified studies on SUDD patients treated with fibers (PubMed and Scopus). The quality of these studies was evaluated by the Jadad scale. The main outcome measures were a reduction of abdominal symptoms and the prevention of acute diverticulitis. Nineteen studies were included, nine with dietary fiber and 10 with supplemental fiber, with a high heterogeneity concerning the quantity and quality of fibers employed. Single studies suggest that fibers, both dietary and supplemental, could be beneficial in SUDD, even if the quality is very low, with just one study yielding an optimal score. The presence of substantial methodological limitations, the heterogeneity of the therapeutic regimens employed, and the lack of ad hoc designed studies, did not permit a summary of the outcome measure. Thus, the benefit of dietary or supplemental fiber in SUDD patients still needs to be established.
- Subjects :
- medicine.medical_specialty
Databases, Factual
diverticular disease
supplemental fiber
symptomatic uncomplicated diverticular disease
dietary fiber
lcsh:TX341-641
Uncomplicated diverticular disease
Review
food science
03 medical and health sciences
0302 clinical medicine
Meta-Analysis as Topic
Internal medicine
medicine
Diverticulosis, Colonic
Humans
Randomized Controlled Trials as Topic
Nutrition and Dietetics
Acute diverticulitis
business.industry
Outcome measures
Colonic Diverticulum
Jadad scale
Surgery
030220 oncology & carcinogenesis
Diverticular disease
030211 gastroenterology & hepatology
Dietary fiber
Abdominal symptoms
business
lcsh:Nutrition. Foods and food supply
Food Science
Subjects
Details
- Language :
- English
- ISSN :
- 20726643
- Volume :
- 9
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Nutrients
- Accession number :
- edsair.doi.dedup.....ed70a8ad2c6c72874bd403ee41d4ea50