Editing Diverticular disease (section)

=== '''Uncomplicated     diverticulitis''' ===

** May not be a need for      antibiotics in acute uncomplicated diverticulitis in healthy patients.      Studies not yet showing any significant difference in outcome or      complication rate between observation/Abx.
** No way of predicting adverse      outcomes - antibiotics does not prevent complication in high-risk      patients
** Admit if:
*** Immunocompromise
*** Intolerant to oral intake
*** Sepsis (WCC > 13.5)
*** Lack of social support
*** Frailty or comorbidity
*** Pain
*** No improvement with       adequate treatment at home
** Analgaesia
** Abx
*** Has not been shown to       accelerate recovery or prevent complications or subsequent surgery
** Altered diet - clear fluids,      followed by low-residue diet until the inflammation subsides
** If no improvement after 72      hours in hospital, consider repeating CT
** If no improvement after      another 48 hours, start considering semi-elective resection
** Group of patients who      immediately flare up again when the antibiotics are stopped - start      considering resection if this happens twice