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Management of Diverticulitis: A Review
Olivia A Sacks1,2, Jason Hall3,4
1Department of Surgery, Boston Medical Center, Boston, Massachusetts.
Diverticulitis care is shifting towards outpatient treatment and less antibiotic use for uncomplicated cases. Surgical decisions are now preference-sensitive, incorporating minimally invasive techniques.
Area of Science:
- Gastroenterology and Colorectal Surgery
Background:
- Diverticulitis care is evolving, with significant changes in treatment paradigms.
- Left-sided diverticulitis, both uncomplicated and complicated, requires updated management strategies.
Purpose of the Study:
- To provide a narrative review of current evidence for managing uncomplicated and complicated left-sided diverticulitis.
- To summarize the latest advances in diverticulitis pathophysiology, diagnosis, and prevention.
Main Methods:
- A comprehensive literature review of recent studies on diverticulitis management.
- Analysis of current trends in treatment settings, antibiotic use, and surgical interventions.
Main Results:
- Treatment is increasingly shifting to the outpatient setting.
- Antibiotic use for uncomplicated diverticulitis is declining.
- Surgical management decisions are becoming preference-sensitive, with a rise in minimally invasive and robot-assisted techniques.
Conclusions:
- This review offers an updated summary of best practices for diverticulitis management.
- It aims to guide colorectal and general surgeons in treating patients with this common condition.
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