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

...anagement

...mmendations for the Management of Acute Diverticu...

...ests that antibiotics should be used sel...

...suggests that colonoscopy be performed af...

...GA suggests against elective colonic resection i...

...suggests a fiber-rich diet or fiber supplem...

...suggests against routinely advising patients wit...

...suggests against routinely advising...

...suggests advising patients with a histor...

...ends against the use of mesalamine after acute u...

The AGA suggests against the use of...

...ests against the use of probiotics af...

...gests advising patients with diverticu...