Management of symptomatic uncomplicated diverticular colon disease: A systematic review of diagnosis and treatment

Abstract

Symptomatic uncomplicated diverticular colon disease (SUDCD) is a highly prevalent disease in our setting, which significantly affects the quality of life of patients. Recent changes in understanding the natural history of this disease and technological and pharmacological advances have increased the available options for both diagnosis and treatment. However, consensus regarding the use of these options is scarce and sometimes lacks scientific evidence. The objective of this systematic review is to clarify the existing scientific evidence and analyse the use of the different diagnostic and therapeutic options for SUDCD, comparing their advantages and disadvantages, to finally suggest a diagnostic-therapeutic algorithm for this pathology and, at the same time, propose new research questions.

Keywords: Diverticula; Diverticular colon disease; Diverticular disease; Diverticulosis; Divertículos; Enfermedad diverticular; Enfermedad diverticular de colon; Enfermedad diverticular no complicada; Enfermedad diverticular no complicada de colon; Uncomplicated diverticular colon disease; Uncomplicated diverticular disease.