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Clin Colon Rectal Surg 2009; 22(3): 156-160
DOI: 10.1055/s-0029-1236159
© Thieme Medical Publishers

The Medical and Nonoperative Treatment of Diverticulitis

Heath Beckham1 , Charles B. Whitlow1
  • 1Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana
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Publication History

Publication Date:
10 August 2009 (online)

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ABSTRACT

The success of medical management for diverticular disease depends on the patient's presentation and degree of response to treatment. The patient's presentation can be grouped into categories using classification systems such as the modified Hinchey system. Clinical presentation and diagnostic studies help to group patients. Mild disease can often be managed with oral antibiotics as an outpatient; more severe disease requires hospitalization, bowel rest, and intravenous antibiotics. Interventions such as percutaneous drainage of associated abscesses may allow successful medical management. Probiotics and antiinflammatories may have a supportive role. Indications for elective resections are discussed.

KEYWORDS

Diverticular disease - medical management - antibiotics - percutaneous drainage

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Charles B WhitlowM.D. 

Department of Colon and Rectal Surgery, Ochsner Clinic Foundation

1514 Jefferson Hwy., New Orleans, LA 70121

Email: cwhitlow@ochsner.org