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[Current treatment for diverticulitis: state of affairs in 2016].
Ned Tijdschr Geneeskd 2016; 160:D69NT

Abstract

- Uncomplicated diverticulitis does not routinely require antibiotic treatment and can even be managed in the outpatient setting.- As yet no medical therapies have proven themselves useful in the prevention of recurrence.- Complicated diverticulitis with an abscess smaller than 4 cm is treated with antibiotics, larger abscesses are treated by percutaneous drainage, and only if treatment fails surgery is required.- Laparoscopic lavage is no better than partial resection in purulent peritonitis.- Perforated diverticulitis with faecal peritonitis is treated by a Hartmann's procedure; in selected cases resection and primary anastomosis may be considered.- The decision whether a resection should be laparoscopic or open is based on the surgeon's experience.- The choice for elective resection for recurrent diverticulitis is still made on a patient-by-patient basis.- Only high-risk patients should have a follow-up colonoscopy to exclude malignancy. The remaining patients are referred back to the Dutch national colorectal cancer screening programme.

Authors+Show Affiliations

Academisch Medisch Centrum, afd. Chirurgie, Amsterdam.No affiliation info available

Pub Type(s)

Journal Article

Language

dut

PubMed ID

27334091

Citation

van Dijk, S, and M A. Boermeester. "[Current Treatment for Diverticulitis: State of Affairs in 2016]." Nederlands Tijdschrift Voor Geneeskunde, vol. 160, 2016, p. D69.
van Dijk S, Boermeester MA. [Current treatment for diverticulitis: state of affairs in 2016]. Ned Tijdschr Geneeskd. 2016;160:D69.
van Dijk, S., & Boermeester, M. A. (2016). [Current treatment for diverticulitis: state of affairs in 2016]. Nederlands Tijdschrift Voor Geneeskunde, 160, p. D69.
van Dijk S, Boermeester MA. [Current Treatment for Diverticulitis: State of Affairs in 2016]. Ned Tijdschr Geneeskd. 2016;160:D69. PubMed PMID: 27334091.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Current treatment for diverticulitis: state of affairs in 2016]. AU - van Dijk,S, AU - Boermeester,M A, PY - 2016/6/24/entrez PY - 2016/6/24/pubmed PY - 2018/2/22/medline SP - D69 EP - D69 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 160 N2 - - Uncomplicated diverticulitis does not routinely require antibiotic treatment and can even be managed in the outpatient setting.- As yet no medical therapies have proven themselves useful in the prevention of recurrence.- Complicated diverticulitis with an abscess smaller than 4 cm is treated with antibiotics, larger abscesses are treated by percutaneous drainage, and only if treatment fails surgery is required.- Laparoscopic lavage is no better than partial resection in purulent peritonitis.- Perforated diverticulitis with faecal peritonitis is treated by a Hartmann's procedure; in selected cases resection and primary anastomosis may be considered.- The decision whether a resection should be laparoscopic or open is based on the surgeon's experience.- The choice for elective resection for recurrent diverticulitis is still made on a patient-by-patient basis.- Only high-risk patients should have a follow-up colonoscopy to exclude malignancy. The remaining patients are referred back to the Dutch national colorectal cancer screening programme. SN - 1876-8784 UR - https://www.unboundmedicine.com/medline/citation/27334091/[Current_treatment_for_diverticulitis:_state_of_affairs_in_2016]_ L2 - http://www.ntvg.nl/D69 DB - PRIME DP - Unbound Medicine ER -