Diverticulitis: Difference between revisions

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==Epidemiology==
==Epidemiology==
1/3 affected by age 50
1/3 affected by age 50


Occurs in 10-25% of those with diverticulosis
Occurs in 10-25% of those with diverticulosis


==Treatment==
==Treatment==
Clear-liquid diet initially
Clear-liquid diet initially


High-fiber diet
High-fiber diet


===Abx===
 
#PO
===Abx:===
##Bactrim/Cipro + Flagyl
 
##Augmentin
 
##Moxifloxacin
PO:-Bactrim/Cipro + Flagyl
#IV
 
##CTX + Flagyl
-Augmentin
##Unasyn
 
##Zosyn
-Moxifloxacin
##Imipenem
 
##Levaquin
##etc.
 
IV:-CTX + Flagyl
 
-Unasyn
 
-Zosyn
 
-Imipenem
 
-Levaquin
 
etc.
 


==Dispo==
==Dispo==
 
#Outpt
 
##Simple diverticulitis, tol po, social support, able to f/u in 48-72h
Outpt: Simple diverticulitis, tol po, social support, able to f/u in 48-72h
#Admit
 
##Comorbidities; complicated disease (assoc abscess, bowel wall >4mm, obstruction, ill appearance)
Admit: Comorbidities; complicated disease (assoc abscess, bowel wall >4mm, obstruction, ill appearance)
#Surgery/IR
 
##Abscesses >4cm; fistulas
Surgery/IR: Abscesses >4cm; fistulas
 
 
 


[[Category:GI]]
[[Category:GI]]

Revision as of 05:48, 14 March 2011

Epidemiology

1/3 affected by age 50

Occurs in 10-25% of those with diverticulosis

Treatment

Clear-liquid diet initially

High-fiber diet

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