Diverticulitis: Difference between revisions
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==Clinical Manifestations== |
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*'''Complicated diverticulitis''' includes diverticulitis associated with uncontained, free perforation with systemic inflammatory response, fistula, abscess, stricture, or obstruction |
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*'''Uncomplicated diverticulitis''' is diverticulitis not meeting the above definition, and includes microperforation with small amounts of contained, extraluminal gas without systemic inflammatory response |
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==Management== |
==Management== |
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**Observation alone, or |
**Observation alone, or |
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**Ten days of [[amoxicillin-clavulanic acid]] (preferred), or a combination of [[fluoroquinolone]] and [[metronidazole]] |
**Ten days of [[amoxicillin-clavulanic acid]] (preferred), or a combination of [[fluoroquinolone]] and [[metronidazole]] |
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== Further Reading == |
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* The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis. ''Dis Colon Rectum''. 2020;63:728–747. doi: [https://doi.org/10.1097/DCR.0000000000001679 10.1097/DCR.0000000000001679] |
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[[Category:Gastrointestinal infections]] |
[[Category:Gastrointestinal infections]] |
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Revision as of 01:09, 3 March 2021
Clinical Manifestations
- Complicated diverticulitis includes diverticulitis associated with uncontained, free perforation with systemic inflammatory response, fistula, abscess, stricture, or obstruction
- Uncomplicated diverticulitis is diverticulitis not meeting the above definition, and includes microperforation with small amounts of contained, extraluminal gas without systemic inflammatory response
Management
- For uncomplicated diverticulitis:
- Observation alone, or
- Ten days of amoxicillin-clavulanic acid (preferred), or a combination of fluoroquinolone and metronidazole
Further Reading
- The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis. Dis Colon Rectum. 2020;63:728–747. doi: 10.1097/DCR.0000000000001679
