Management of acute colonic diverticulitis > 의학

CT: computed tomography.
* Criteria for inpatient management (only need to meet one):

• Complicated diverticulitis (refer to the ¶ footnote below)
• Microperforation
• Immunosuppression
• High fever (>102.5°F/39°C)
• Significant leukocytosis
• Severe abdominal pain of diffuse peritonitis
• Age >70 years
• Significant comorbidities
• Intolerance of oral intake
• Noncompliance/unreliability for return visits/lack of support system
• Failure of outpatient treatment

¶ Complications of acute diverticulitis:

• Frank perforation
• Abscess (asymptomatic patients with a healed diverticular abscess may not need surgery due to a lower risk of complicated recurrence)
• Obstruction
• Fistulization

Δ Criteria for discharge (all must be met):

• Normalization of vital signs
• Resolution of severe abdominal pain
• Resolution of significant leukocytosis
• Tolerance of oral diet