Open AccessChanging Paradigms in the Management of Acute Uncomplicated Diverticulitis
Author(s) -
Abbas Chabok,
Arnar Thorisson,
Maziar Nikberg,
Johannes Schultz,
Ville Sallinen
Publication year - 2021
Publication title -
scandinavian journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.774
H-Index - 50
eISSN - 1799-7267
pISSN - 1457-4969
DOI - 10.1177/14574969211011032
Subject(s) - medicine , diverticulitis , intensive care medicine , general surgery , fistula , intravenous antibiotics , computed tomography , antibiotics , surgery , microbiology and biotechnology , biology
Left-sided colonic diverticulitis is a common condition with significant morbidity and health care costs in Western countries. Acute uncomplicated diverticulitis which is characterized by the absence of organ dysfunction, abscesses, fistula, or perforations accounts for around 80% of the cases. In the last decades, several traditional paradigms in the management of acute uncomplicated diverticulitis have been replaced by evidence-based routines. This review provides a comprehensive evidence-based and clinical-oriented overview of up-to-date diagnostics with computer tomography, non-antibiotic treatment, outpatient treatment, and surgical strategies as well as follow-up of patients with acute uncomplicated diverticulitis.