ASCRS Treatment of Sigmoid Diverticulitis Guideline Summary - Guideline Central
Recommendations
Document Overview

Treatment of Sigmoid Diverticulitis

American Society of Colon and Rectal Surgeons


Publication Date: Jan 1, 2014

Page Last Updated: May 5, 2026

The GRADE system: grading recommendations

GradeDescriptionBenefit vs. risk and burdensQuality of supporting evidenceImplications
1AStrong recommendation, High-quality evidenceBenefits clearly outweigh risk and burdens or vice versaRCTs without important limitations or overwhelming evidence from observational studiesStrong recommendation, can apply to most patients in most circumstances without reservation
1BStrong recommendation, Moderate-quality evidenceBenefits clearly outweigh risk and burdens or vice versaRCTs with important limitations (inconsistent results, methodologic flaws, indirect or imprecise) or exceptionally strong evidence from observational studiesStrong recommendation, can apply to most patients in most circumstances without reservation
1CStrong recommendation, Low- or very-low quality evidenceBenefits clearly outweigh risk and burdens or vice versaObservational studies or case seriesStrong recommendation but may change when higherquality evidence becomes available
2AWeak recommendation, High-quality evidenceBenefits closely balanced with risks and burdensRCTs without important limitations or overwhelming evidence from observational studiesWeak recommendation, best action may differ depending on circumstances or patients’ or societal values
2BWeak recommendations, Moderate-quality evidenceBenefits closely balanced with risks and burdensRCTs with important limitations (inconsistent results, methodologic flaws, indirect or imprecise) or exceptionally strong evidence from observational studiesWeak recommendation, best action may differ depending on circumstances or patients’ or societal values
2CWeak recommendation, Low- or very-low quality evidenceUncertainty in the estimates of benefits, risks and burden; benefits, risk, and burden may be closely balancedObservational studies or case seriesVery weak recommendations; other alternatives may be equally reasonable

Document Overview

Document Title
Treatment of Sigmoid Diverticulitis
Authoring Society

American Society of Colon and Rectal Surgeons

Document Publication Date
Jan 1, 2014
Page Last Reviewed/Updated
May 5, 2026
Document Type
Guideline
Country of Publication
United States
Full Text Freely Available
Yes
Full Text Guideline
www.doi.org/10.1097/DCR.0000000000000075

Supplemental Implementation Resources

Document Scope, Criteria, and Use Cases

Scope
Diagnosis, Management, Treatment
Diseases/Conditions (MeSH)

D004238 - Diverticulitis

D004240 - Diverticulum

D004241 - Diverticulum, Colon

D004238 - Diverticulitis

D004240 - Diverticulum

D004241 - Diverticulum, Colon

Keywords
diverticulitis, diverticulosis, fistula
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Infant, Older Adult
Health Care Settings
Ambulatory, Emergency Care, Hospital, Outpatient
Intended Users
Dietician/Nutritionist, Nurse, Nurse Practitioner, Physician, Physician Assistant

Recommendation Development Processes & Methodology

Number of Source Documents
102
Literature Search End Date
Wednesday, July 31, 2013
Includes peer/external review process?
Yes
Includes public comment process?
No
Methodologist involvement?
Yes
Patient involvement?
No
Includes multi-disciplinary group?
Yes
Includes systematic review?
Yes
Grades quality of strength of evidence?
Yes
Grades quality of strength of recommendation?
Yes
Includes benefits/harms analysis with recommendations?
No
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