Mistakes in acute diverticulitis and how to avoid them

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Mistakes in acute diverticulitis and how to avoid them

Anna A.W. van Geloven, Simone Rottier, Marja A. Boermeester

Summary

AI Generated

This material addresses 10 frequent mistakes in managing acute diverticulitis, covering terminology, diagnosis, and treatment decisions including antibiotics, radiological interventions, and surgery.

Distinguishing between uncomplicated and complicated acute diverticulitis is essential because treatment strategies differ between the two
Treatment topics include decisions about omitting or administering antibiotics, radiological interventions, and various surgical aspects
The incidence of acute diverticulitis is rising worldwide and represents a considerable burden on healthcare systems
The discussion combines evidence-based content with clinical experience where evidence is lacking

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes

References

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15.

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16.

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18.

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19.

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20.

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21.

van Dijk ST, et al. A systematic review and meta-analysis of outpatient treatment for acute diverticulitis. Int J Colorectal Dis 2018; 33: 505–512. [Link]

22.

de Boer MGJ, et al. The Dutch national guideline ‘Acute Diverticulitis’, https://richtlijnendatabase.nl/richtlijn/acute_diverticulitis/startpagina_-_acute_diverticulitis.html#verantwoording (2018, accessed 28 November 2019 ; in Dutch). [Link]

23.

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24.

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27.

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28.

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29.

Rottier SJ, et al. Meta-analysis of the role of colonoscopy after an episode of left-sided acute diverticulitis. Br J Surg 2019; 106: 988–997. [Link]

30.

Binda GA, et al. Primary anastomosis vs nonrestorative resection for perforated diverticulitis with peritonitis: a prematurely terminated randomized controlled trial. Colorectal Dis 2012; 14: 1403–1410. [Link]

31.

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32.

Oberkofler CE, et al. A multicenter randomized clinical trial of primary anastomosis or Hartmann's procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. Ann Surg 2012; 256: 819–826. [Link]

33.

Lambrichts DPV, et al. Hartmann's procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or faecal peritonitis (LADIES): a multicentre, parallel-group, randomised, open-label, superiority trial. Lancet Gastroenterol Hepatol 2019; 4: 599–610. [Link]

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Abstract

Acute diverticulitis is an inflammatory complication of diverticulosis and can either be uncomplicated or complicated. Making the distinction between uncomplicated and complicated acute diverticulitis is essential because treatment strategies differ between the two. Here, we discuss 10 mistakes frequently made when managing patients with acute diverticulitis. We focus on using the correct terminology, diagnostic preference and several treatment options, such as omitting or administering antibiotics, radiological interventions and various aspects of surgery. Acute diverticulitis is an important topic because its incidence is rising worldwide and it is becoming a considerable burden on healthcare systems. Most of the discussion included here is evidence-based, supplemented with many years’ combined clinical experience where evidence is lacking.

Topics

Endoscopy Radiology & Imaging Surgery

Citation

Cite this article as: Rottier SJ, et al. Mistakes in acute diverticulitis and how to avoid them. UEG Education 2019; 19: 31–35.

Published

2019

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