Home Treatment of Uncomplicated Acute Diverticulitis

Abstract

Diverticular disease of the colon is a common disease, mainly in the population over 50 years of age. In acute forms of presentation, we considered home treatment in those patients that were classified as having uncomplicated forms by means of clinical presentation and a computed tomography of the abdomen. According to these criteria, we treated 38 patients at home and admitted 18 patients to the hospital during the same period of time. No severe complications developed in the home-treatment patients. Home treatment is an effective alternative treatment for patients with uncomplicated acute diverticulitis. In uncomplicated acute diverticulitis, home treatment benefits the patient, over hospitalization, by allowing better management of resources and by keeping the patient in a familiar environment where there is no risk of a nosocomial infection.

Out-Patient Management of Mild or Uncomplicated Diverticulitis: A Systematic Review

“…1 ). A total of 10 studies met the inclusion criteria for narrative synthesis [1,[12][13][14][15][16][17][18][19][20] . There was a high risk of selection, performance and detection bias in all studies except one [1] ( fig.…”

“…One of the 10 studies was an RCT [1] , with the remaining 9 studies having non-randomized designs [12][13][14][15][16][17][18][19][20] . Nine studies were carried out as singlecentre studies [12][13][14][15][16][17][18][19][20] , while only the RCT was a multicentre study [1] .…”

“…One of the 10 studies was an RCT [1] , with the remaining 9 studies having non-randomized designs [12][13][14][15][16][17][18][19][20] . Nine studies were carried out as singlecentre studies [12][13][14][15][16][17][18][19][20] , while only the RCT was a multicentre study [1] . Seven studies including the RCT reported on outcomes of ambulatory antibiotic treatment in UD in comparison to an in-patient cohort [1,12,13,[17][18][19][20] .…”

“…They also did not exclude patients based on the location of diverticulitis in bowel. The combined study period in the included studies was from 2006 to 2014 [1,[12][13][14][15][16][17][18][19][20] .…”

“…Nine studies were carried out as singlecentre studies [12][13][14][15][16][17][18][19][20] , while only the RCT was a multicentre study [1] . Seven studies including the RCT reported on outcomes of ambulatory antibiotic treatment in UD in comparison to an in-patient cohort [1,12,13,[17][18][19][20] . The remaining 3 studies reported on ambulatory treatment alone in case series of patients with no in-patient group for comparison [14][15][16] .…”