Acute Diverticulitis

Publication Date: December 1, 2015

Key Points

Key Points

Acute diverticulitis is defined as clinically evident macroscopic inflammation of a diverticulum or diverticula.

Acute diverticulitis occurs in <10% of patients with diverticulosis.

10–20% of those patients will have complicated disease, defined as an abscess, perforation, fistula, or colonic obstruction.

10–25% of patients who have a first attack of diverticulitis will have a subsequent recurrence.

Antibiotics are often prescribed for acute diverticulitis, but can often be avoided in mild cases.

A colonoscopy should generally be performed after resolution of acute diverticulitis if not recently done.

The AGA suggests a fiber-rich diet and physical activity after resolution of acute diverticulitis.

Management

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...ecommendations for the Management of Acute Div...

...AGA suggests that antibiotics should be used...

...gests that colonoscopy be performed after resol...

...ests against elective colonic resection in...

...A suggests a fiber-rich diet or ...

...ests against routinely advising patients with...

...gests against routinely advising patients with a h...

...advising patients with a history of...

...recommends against the use of mesalamine after ac...

...e AGA suggests against the use of rifa...

...e AGA suggests against the use of probiotics a...

...sts advising patients with diverticula...