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Recurrent Sigmoid Diverticulitis Managed with Adjunctive Daiobotanpito: A Case Report.
Ryo Yoshinaga1, Hiroki Ishibashi2, Hajime Takeuchi1
1Department of Japanese Oriental Medicine, Iizuka Hospital, Japan.
Internal Medicine (Tokyo, Japan)
|June 28, 2026
Summary
Daiobotanpito (DBT), a traditional Japanese medicine, shows promise in managing recurrent sigmoid diverticulitis. Adjunctive DBT therapy helped a patient avoid surgery and remain symptom-free for one year.
Area of Science:
- Gastroenterology
- Integrative Medicine
- Pharmacology
Background:
- Diverticulitis often requires conservative management, but recurrent or complicated cases may necessitate surgical intervention.
- Traditional Japanese medicine offers alternative therapeutic approaches for inflammatory conditions.
Purpose of the Study:
- To evaluate the efficacy of Daiobotanpito (DBT) as an adjunctive therapy for recurrent sigmoid diverticulitis.
- To explore non-surgical management options for patients with complicated diverticular disease.
Main Methods:
- A case report of a 54-year-old woman with recurrent sigmoid diverticulitis and a history of diverticular abscess.
- Treatment involved a combination of antibiotics and Daiobotanpito (DBT).
- Patient monitoring for symptom recurrence and long-term outcomes.
Main Results:
- The patient resumed oral intake and was discharged without surgery.
- No recurrence of diverticulitis symptoms was observed during a one-year follow-up period while continuing Kampo therapy.
- Daiobotanpito (DBT) was well-tolerated as an adjunctive treatment.
Conclusions:
- Daiobotanpito (DBT) may serve as a viable adjunctive therapy for recurrent diverticulitis.
- This approach offers a potential option for patients seeking to avoid surgical intervention.
- Further research is warranted to confirm the role of DBT in diverticulitis management.
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