What is the best treatment for acute diverticulitis?
What is the best treatment for acute diverticulitis?
Diverticulitis is treated using diet modifications, antibiotics, and possibly surgery. Mild diverticulitis infection may be treated with bed rest, stool softeners, a liquid diet, antibiotics to fight the infection, and possibly antispasmodic drugs.
What is the management of diverticulitis?
The management of a patient presenting with diverticulitis and a localized 5 cm abscess should include: Antibiotics alone. Antibiotics, percutaneous CT-guided drainage, and nonoperative management. Antibiotics, percutaneous CT-guided drainage, and delayed elective colectomy.
How do you manage acute diverticulitis?
Outpatient management with rest and fluids is effective for patients with mild diverticulitis. Inpatient management is recommended in patients with moderate to severe diverticulitis. Broad-spectrum antibiotics covering gram-negative rods and anaerobic bacteria should be used in patients with complicated diverticulitis.
When to use the Hinchey Classification for diverticulitis?
The Hinchey classification (Figure 1) 17 has traditionally been used to distinguish four stages of complicated diverticulitis. It is well known and, to date, still widely used. Originally, the Hinchey classification was intended to be used during laparotomy.
What should I do if I have diverticulitis stage IB?
Diverticulitis with a localized abscess (stages Ib–II) is generally resolved with conservative treatment. If the abscess is larger or conservative treatment fails, however, percutaneous drainage or surgery should be considered.
How is diverticulitis treated in the emergency department?
Acute uncomplicated diverticulitis is successfully treated in 70%-100% of patients with conservative management. [ 34, 35, 36] Patients who present to the emergency department with uncomplicated diverticulitis appear to be able to be safely discharged on oral antibiotics, provided computed tomography (CT) scan findings have been evaluated. [ 37]
What are the stages of diverticulitis in the colon?
Protocol for management of complicated diverticulitis of the colon. Based on the modified Hinchey classification, diverticulitis may be categorized into six stages (0, Ia, Ib, II, III, IV).
