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Review
. 2021 Jun;110(2):180-186.
doi: 10.1177/14574969211011032. Epub 2021 May 3.

Changing Paradigms in the Management of Acute Uncomplicated Diverticulitis

A Chabok  1   2 , A Thorisson  2   3 , M Nikberg  1   2 , J K Schultz  4 , V Sallinen  5   6
Affiliations
Review

Changing Paradigms in the Management of Acute Uncomplicated Diverticulitis

A Chabok et al. Scand J Surg. 2021 Jun.

Abstract

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 In the last decades, several traditional paradigms in the management of acute uncomplicated diverticulitis have been replaced by evidence-based routines.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.

Keywords: Colonic diverticulitis; acute uncomplicated diverticulitis; antibiotics; cancer; surgery.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Fig. 1.
Fig. 1.
A patient with lower left abdominal pain. This computed tomography scan of the lower abdomen shows colonic wall thickening in the proximal sigmoid colon, diverticula (arrow), and pericolic fat stranding. A diagnosis of uncomplicated diverticulitis was made.
See this image and copyright information in PMC

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