Diverticulitis

Epidemiology

1/3 affected by age 50

Occurs in 10-25% of those with diverticulosis

Treatment

Clear-liquid diet initially

High-fiber diet

Abx:

PO:-Bactrim/Cipro + Flagyl

-Augmentin

-Moxifloxacin

IV:-CTX + Flagyl

-Unasyn

-Zosyn

-Imipenem

-Levaquin

etc.

Dispo

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)

Surgery/IR: Abscesses >4cm; fistulas