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
...nagement...
...ommendations for the Management of A...
...ts that antibiotics should be used sel...
...AGA suggests that colonoscopy be p...
...s against elective colonic resectio...
The AGA suggests a fiber-rich diet or ...
...s against routinely advising patients...
...ggests against routinely advising patients with a...
...e AGA suggests advising patients with a history...
...recommends against the use of mesalamine...
...s against the use of rifaximin after ac...
...e AGA suggests against the use of probiotics...
The AGA suggests advising patients with di...