Não há diretrizes estabelecidas disponíveis para a prevenção secundária da diverticulite. No entanto, tomar medidas para a melhora da saúde como um todo, como realizar atividades físicas regulares, aumentar o consumo de frutas e vegetais, diminuir o consumo de gorduras saturadas, carnes vermelhas e açúcar, melhorará a saúde cardiovascular e poderá diminuir a prevalência da diverticulite.[43]Peery AF, Shaukat A, Strate LL. AGA clinical practice update on medical management of colonic diverticulitis: expert review. Gastroenterology. 2021 Feb;160(3):906-11.e1.
https://www.gastrojournal.org/action/showPdf?pii=S0016-5085%2820%2935512-8
http://www.ncbi.nlm.nih.gov/pubmed/33279517?tool=bestpractice.com
[59]Eberhardt F, Crichton M, Dahl C, et al. Role of dietary fibre in older adults with asymptomatic (AS) or symptomatic uncomplicated diverticular disease (SUDD): systematic review and meta-analysis. Maturitas. 2019 Dec;130:57-67.
http://www.ncbi.nlm.nih.gov/pubmed/31706437?tool=bestpractice.com
[106]Aldoori WH, Giovannucci EL, Rimm EB, et al. Prospective study of physical activity and risk of symptomatic diverticular disease in men. Gut. 1995 Feb;36(2):276-82.
http://www.ncbi.nlm.nih.gov/pubmed/7883230?tool=bestpractice.com
A mesalazina, os probióticos ou a rifaximina não são recomendados para a prevenção da diverticulite recorrente.[43]Peery AF, Shaukat A, Strate LL. AGA clinical practice update on medical management of colonic diverticulitis: expert review. Gastroenterology. 2021 Feb;160(3):906-11.e1.
https://www.gastrojournal.org/action/showPdf?pii=S0016-5085%2820%2935512-8
http://www.ncbi.nlm.nih.gov/pubmed/33279517?tool=bestpractice.com
[91]Qaseem A, Etxeandia-Ikobaltzeta I, Lin JS, et al; Clinical Guidelines Committee of the American College of Physicians. Colonoscopy for diagnostic evaluation and interventions to prevent recurrence after acute left-sided colonic diverticulitis: a clinical guideline from the American College of Physicians. Ann Intern Med. 2022 Mar;175(3):416-31.
https://www.acpjournals.org/doi/10.7326/M21-2711
http://www.ncbi.nlm.nih.gov/pubmed/35038270?tool=bestpractice.com
Evidências mostram que a mesalazina não reduz o risco de recorrência.[99]Balk EM, Adam GP, Cao W, et al. Evaluation and management after acute left-sided colonic diverticulitis : a systematic review. Ann Intern Med. 2022 Mar;175(3):388-98.
https://www.acpjournals.org/doi/10.7326/M21-1646
http://www.ncbi.nlm.nih.gov/pubmed/35038269?tool=bestpractice.com
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For people with diverticulitis, how does mesalamine (5-ASA) compare with placebo for prevention of recurrence?/cca.html?targetUrl=https://cochranelibrary.com/cca/doi/10.1002/cca.1968/fullMostre-me a resposta Não há evidências suficientes para o uso de rifaximina, mesalazina e rifaximina em combinação, de balsalazida (um pró-fármaco do ácido 5-aminossalicílico) e probióticos em combinação, ou do chá de bardana.[91]Qaseem A, Etxeandia-Ikobaltzeta I, Lin JS, et al; Clinical Guidelines Committee of the American College of Physicians. Colonoscopy for diagnostic evaluation and interventions to prevent recurrence after acute left-sided colonic diverticulitis: a clinical guideline from the American College of Physicians. Ann Intern Med. 2022 Mar;175(3):416-31.
https://www.acpjournals.org/doi/10.7326/M21-2711
http://www.ncbi.nlm.nih.gov/pubmed/35038270?tool=bestpractice.com
[99]Balk EM, Adam GP, Cao W, et al. Evaluation and management after acute left-sided colonic diverticulitis : a systematic review. Ann Intern Med. 2022 Mar;175(3):388-98.
https://www.acpjournals.org/doi/10.7326/M21-1646
http://www.ncbi.nlm.nih.gov/pubmed/35038269?tool=bestpractice.com