Current Recommendations on Treatment of Acute Diverticulitis -Mini Review

Jurij janež*

Received: November 01, 2018;   Published: November 26, 2018

DOI: 10.26717/BJSTR.2018.11.002092

Full Text PDF

To view the Full Article   Peer-reviewed Article PDF

Abstract

Diverticulosis is a common disease in Western world and is associated with a Western lifestyle with low fiber diet, smoking, constipation. It is quite rare in the East, however its incidence is growing also in the Eastern countries. Diverticula are a small outpouching of the colonic wall and are harmless, unless they became inflammed or cause other symptoms. Colonic diverticula can occur anywhere in the colon or rectum, but they most often occur in the descending and sigmoid colon [1]. The majority of individuals (80-85%) with colonic diverticula remain asymptomatic, 10-15% of people with colonic diverticulosis develop abdominal symptoms, such as abdominal pain, bloating or changes in bowel habits. Those symptoms, without macroscopical changes within diverticula, we describe as a symptomatic uncomplicated diverticular disease (SUDD). The other complications ot diverticular disease are acute inflammation of the one or more diverticula (acute diverticulitis), bleeding, fistulas with other organs, intestinal obstruction. The lifetime risk of developing acute diverticulitis in people with colonic diverticulosis is about 4% [2]. This mini-review article summarizes some latest guidelines and suggestions regarding treatment of acute divericulitis, which were proposed mainly by the World Society of Emergency Surgeons (WSES) [3].