Diverticulitis

Revision as of 05:48, 14 March 2011 by Rossdonaldson1 (talk | contribs)

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
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