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.
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
...Manage...
...AGA Recommenda...
...AGA suggests that antibiotics should be used...
...AGA suggests that colonoscopy be...
...against elective colonic resectio...
...sts a fiber-rich diet or fiber supplem...
...ts against routinely advising patient...
...gests against routinely advising patients with a...
...suggests advising patients with a history of di...
...AGA recommends against the use of mesalamin...
...GA suggests against the use of rifaximin after...
...GA suggests against the use of probiotics after a...
...gests advising patients with diverti...