Management of Right Colonic Uncomplicated Diverticulitis: Outpatient Versus Inpatient Management

Abstract

Outpatient management with short-term oral antibiotic therapy for the treatment of uncomplicated right colonic diverticulitis is as effective as inpatient management in regard to preventing disease recurrence.

Outpatient treatment in uncomplicated acute diverticulitis: 5-year experience

“…This study and those previously published (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) show that the majority of patients diagnosed with uncomplicated acute diverticulitis can be treated safely and effectively by oral outpatient treatment (Table 5). The economic benefits of this type of treatment have also been clearly demonstrated (6,8,17).…”

“…Our group, in an earlier article published in 2012 (6), also excluded those patients in whom the presence of abscesses was demonstrated by CT. In the literature, only three studies do not exclude these patients (9,13,15). In these studies, the success of treatment and the readmission index were similar to other publications (Table 5).…”

“…In the last year, outpatient treatment of these patients with uncomplicated acute diverticulitis has proven effective and safe (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17).…”

Disease Course of Right- and Left-sided Diverticulitis in a Western Population

“…In contrast, several Asian studies demonstrate good results of a conservative management of RCD patients. Moreover, these studies demonstrate that acute RCD patients present with less complications and have a milder disease course than LCD patients [4,9,10,[12][13][14][29][30][31].…”

“…In the Asian population, colonic diverticulitis is merely a disease of middle aged patients, mostly right-sided, and originating from solitary true congenital diverticula in the cecum. The typical muscular wall hypertrophy seen in LCD, is never present in RCD [9][10][11][12][13][14]. On the contrary, diverticulitis in Caucasians is mainly a disease of the elderly population, commonly left-sided, and originating from multiple acquired pseudo-diverticula [15][16][17][18].…”