Authors: Bryan J M van de Wall Werner A Draaisma Jan J van Iersel R van der Kaaij Esther C J Consten Ivo A M J Broeders
Publish Date: 2013/04/19
Volume: 28, Issue: 9, Pages: 1287-1293
Abstract
Diet restrictions are usually advised as part of the conservative treatment for the acute phase of a diverticulitis episode To date the rationale behind diet restrictions has never been thoroughly studied This study aims to investigate which factors influence the choice of dietary restriction at presentation Additionally the effect of dietary restrictions on hospitalization duration is investigatedAll patients hospitalized for Hinchey 0 Ia or Ib diverticulitis between January 2010 and June 2011 were included Patients were categorized according to the diet imposed by the treating physician at presentation and included nil per os clear liquid liquid diet and solid foods The relation between Hinchey classification Creactive protein leucocyte count and temperature at presentation and diet choice was examined Subsequently the relation between diet restriction and number of days hospitalized was studiedOf the 256 patients included in the study 65 received nil per os 89 clear liquid 75 liquid diet and 27 solid foods at presentation Solely high temperature appeared to be related to a more restrictive diet choice at presentation Patients who received liquid diet HR 166 CI 119–233 or solid foods HR 239 CI 152–378 were more likely to be discharged compared to patient who received clear liquid diet HR 126 CI 152–378 or nils per os reference group This relation remained statistically significant after correction for disease severity treatment and complications
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