Management of acute diverticulitis.

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Date: Sept. 6, 2022
From: CMAJ: Canadian Medical Association Journal(Vol. 194, Issue 34)
Publisher: CMA Impact Inc.
Document Type: Article
Length: 639 words
Lexile Measure: 2370L

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1 Emergency department visits and hospital admissions for acute diverticulitis have increased

Emergency department visits for acute diverticulitis increased by 26.8% to 113.9 visits per 100 000 from 2006 to 2013 in the United States. (1) Hospital admissions for diverticulitis increased 7.5% annually from 190 per 100 000 in 2008 to 310 per 100 000 in 2015 in Europe; the increase occurred predominantly among patients aged younger than 60 years. (2) Insufficient consumption of dietary fibre is associated with this rise.

2 Symptoms of diverticulitis may be driven by inflammation rather than infection

Contemporary evidence shows that use of antibiotics in uncomplicated cases of diverticulitis neither accelerates recovery nor improves outcomes. (2) A recent study has suggested that chronic inflammation secondary to environmental risk factors and alterations of the gut microbiome are now favoured causes over microperforation or bacterial translocation. (3)

3 Most patients with uncomplicated diverticulitis can be treated as outpatients with nonopiate analgesia rather than antibiotics

Cross-sectional imaging that shows...

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Gale Document Number: GALE|A715979476