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|Autori interni:||MARCHI, SANTINO|
|Autori:||Cuomo, R.; Barbara, G; Andreozzi, P; Bassotti, G.; Casetti, T.; Grassini, M.; Ierardi, E.; Maconi, G.; Marchi, S.; Sarnelli, G.; Savarino, V.; Usai, P.; Vozzella, L.; Annibale, B.|
|Titolo:||Symptom patterns can distinguish diverticular disease from irritable bowel syndrome.|
|Anno del prodotto:||2013|
|Abstract:||BACKGROUND: Diverticular disease (DD) and irritable bowel syndrome (IBS) share a similar symptom pattern. However, comparative studies are flawed by different age at onset of symptoms. We aimed to verify whether clinical features distinguish DD from IBS. MATERIALS AND METHODS: Patients with DD or IBS, matched for age and gender (1/1) were consecutively recruited. Data on demographic parameters, voluptuary habits, inheritance of disease and symptoms were collected. Moreover, the association between pain > 24 h, and clinical parameters were evaluated. RESULTS: Ninety patients with DD and 90 patients with IBS (DD: F/M: 46/44; age: 50.9 years; IBS: 46/44; 50.4) were selected from an overall population of 1275 patients. Only nine patients with DD (10%) fulfilled the criteria for IBS diagnosis. Abdominal pain > 24 h was more prevalent in SDD than in patients with IBS (20 vs. 6 patients; P < 0.01). Furthermore, compared with IBS, patients with DD showed more episodes of pain > 24 h requiring medical attention (80% vs. 33%; P < 0.01). CONCLUSIONS: Abdominal pain lasting for more than 24 h discriminates patients with DD compared with those with IBS. Identifying this symptom could be an appropriate strategy to define the diagnosis and management.|
|Digital Object Identifier (DOI):||10.1111/eci.12152|
|Appare nelle tipologie:||1.1 Articolo in rivista|
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