Diverticulitis: Difference between revisions
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==Treatment==
==Treatment==
Clear-liquid diet initially
#Clear-liquid diet initially
 
#High-fiber diet
High-fiber diet
#Abx


===Abx===
===Abx===

Revision as of 05:49, 14 March 2011

Epidemiology

1/3 affected by age 50

Occurs in 10-25% of those with diverticulosis

Treatment

  1. Clear-liquid diet initially
  2. High-fiber diet
  3. Abx

Abx

  1. PO
    1. Bactrim/Cipro + Flagyl
    2. Augmentin
    3. Moxifloxacin
  2. IV
    1. CTX + Flagyl
    2. Unasyn
    3. Zosyn
    4. Imipenem
    5. Levaquin
    6. etc.

Dispo

  1. Outpt
    1. Simple diverticulitis
    2. tol po
    3. social support
    4. able to f/u in 48-72h
  2. Admit
    1. Comorbidities
    2. complicated disease
      1. assoc abscess
      2. bowel wall >4mm
      3. obstruction
      4. ill appearance
  3. Surgery/IR
    1. Abscesses >4cm
    2. fistulas
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