Who Can Safely Be Discharged Home with Diverticulitis? What Discharge Instructions Do I Give Patients with Diverticulitis?
Diverticulitis is a disease affecting over 70% of Americans over the age of 80. It is defined as an inflammation of an outpouching of the colon, and episodes range in severity from mild pain and leukocytosis to peritonitis and septic shock requiring immediate surgical intervention. Current recommendations are for evaluation of the patient with signs and symptoms of diverticulitis with laboratory studies and CT for risk stratification. Patients that are low risk may qualify for outpatient treatment. Despite recommendations for many years, neither fiber nor probiotics have been shown to have a significant effect on the course of disease, and neither is currently recommended by the AGA.
KeywordsDiverticulitis Discharge Disposition Probiotics Colonoscopy