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

...agement...

...commendations for the Management of Acute Diver...

...GA suggests that antibiotics should be us...

...sts that colonoscopy be performed after resolutio...

...gests against elective colonic resection in...

...sts a fiber-rich diet or fiber suppleme...

...GA suggests against routinely advising patients...

...suggests against routinely advising patient...

...he AGA suggests advising patients wi...

...ends against the use of mesalamine after a...

...s against the use of rifaximin after acu...

...against the use of probiotics after acute...

...advising patients with diverticular disease...