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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