Diagnosis and Management of Acute Left-Sided Colonic Diverticulitis
Summary of Recommendations
Recommendation 1
Recommendation 2
Recommendation 3
ACP suggests that clinicians initially manage select patients with acute uncomplicated left-sided colonic diverticulitis without antibiotics.
(C, L)Recommendation Grading
Overview
Title
Diagnosis and Management of Acute Left-Sided Colonic Diverticulitis
Authoring Organization
American College of Physicians
Publication Month/Year
January 18, 2022
Last Updated Month/Year
July 25, 2023
Document Type
Guideline
Country of Publication
US
Document Objectives
The American College of Physicians (ACP) developed this guideline to provide clinical recommendations on the diagnosis and management of acute left-sided colonic diverticulitis in adults. This guideline is based on current best available evidence about benefits and harms, taken in the context of costs and patient values and preferences.
Target Patient Population
Adults with suspected or known acute left-sided colonic diverticulitis
Target Provider Population
Target provider audience is all clinicians
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Ambulatory, Hospital, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Diagnosis, Assessment and screening, Management
Diseases/Conditions (MeSH)
D004238 - Diverticulitis, D004239 - Diverticulitis, Colonic
Keywords
diverticulitis, Colon Diverticulosis
Source Citation
Qaseem A, Etxeandia-Ikobaltzeta I, Lin JS, Fitterman N, Shamliyan T, Wilt TJ; Clinical Guidelines Committee of the American College of Physicians*. Diagnosis and Management of Acute Left-Sided Colonic Diverticulitis: A Clinical Guideline From the American College of Physicians. Ann Intern Med. 2022 Jan 18. doi: 10.7326/M21-2710. Epub ahead of print. PMID: 35038273.