Last updated March 14, 2022

Diagnosis and Management of Acute Left-Sided Colonic Diverticulitis

Summary of Recommendations

Recommendation 1

ACP suggests that clinicians use abdominal CT imaging when there is diagnostic uncertainty in a patient with suspected acute left-sided colonic diverticulitis. (C, L)
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Recommendation 2

ACP suggests that clinicians manage most patients with acute uncomplicated left-sided colonic diverticulitis in an outpatient setting. (C, L)
620

Recommendation 3

ACP suggests that clinicians initially manage select patients with acute uncomplicated left-sided colonic diverticulitis without antibiotics.

(C, L)
620

Recommendation Grading

Overview

Title

Diagnosis and Management of Acute Left-Sided Colonic Diverticulitis

Authoring Organization

Publication Month/Year

January 18, 2022

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

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.