Consultant Corner: Diverticulitis

  • Sandeep NadellaEmail author
  • Zone-En Lee


Diverticulitis is a common gastrointestinal diagnosis among emergency room visits in the USA. Diverticulitis without hemorrhage is one of the most common gastrointestinal diagnoses among inpatients admitted with gastroenterological illness, and it accounts for 2 billion dollars in total healthcare expenditures in the USA. Acute diverticulitis can be diagnosed using a combination of clinical and radiologic features. Complications of diverticulitis such as perforation, local and distant abscess formation, and fistulas must be identified early and managed by a multidisciplinary team. Patients with the index episode of acute diverticulitis of the episode may be managed conservatively. Patients with recurrent diverticulitis should be referred for surgical resection.


Abdominal pain Diverticulitis Antibiotics 


  1. 1.
    Stollman N, Smalley W, Hirano I, Committee AGAICG. American Gastroenterological Association Institute guideline on the management of acute diverticulitis. Gastroenterology. 2015;149:1944–9.CrossRefGoogle Scholar
  2. 2.
    Feingold D, Steele SR, Lee S, et al. Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum. 2014;57:284–94.CrossRefGoogle Scholar
  3. 3.
    Rao PM, Rhea JT, Novelline RA, et al. Helical CT with only colonic contrast material for diagnosing diverticulitis: prospective evaluation of 150 patients. AJR Am J Roentgenol. 1998;170:1445–9.CrossRefGoogle Scholar
  4. 4.
    Stollman NH, Raskin JB. Diagnosis and management of diverticular disease of the colon in adults. Ad Hoc Practice Parameters Committee of the American College of Gastroenterology. Am J Gastroenterol. 1999;94:3110–21.CrossRefGoogle Scholar
  5. 5.
    Bahadursingh AM, Virgo KS, Kaminski DL, Longo WE. Spectrum of disease and outcome of complicated diverticular disease. Am J Surg. 2003;186:696–701.CrossRefGoogle Scholar
  6. 6.
    Taft P, Bhuket NHS. Diverticular disease of the colon. In: MFLS F, Brandt LJ, editors. Sleisinger and Fordtran’s gastrointestinal and liver disease. 10th ed. Philadelphia: Saunders, Elsevier; 2016. p. 2123–38.Google Scholar
  7. 7.
    Abbas MA, Cannom RR, Chiu VY, et al. Triage of patients with acute diverticulitis: are some inpatients candidates for outpatient treatment? Color Dis. 2013;15:451–7.CrossRefGoogle Scholar
  8. 8.
    Chabok A, Pahlman L, Hjern F, Haapaniemi S, Smedh K, Group AS. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg. 2012;99:532–9.CrossRefGoogle Scholar
  9. 9.
    Daniels L, Unlu C, de Korte N, et al. Randomized clinical trial of observational versus antibiotic treatment for a first episode of CT-proven uncomplicated acute diverticulitis. Br J Surg. 2017;104:52–61.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of GastroenterologyMedStar Georgetown University HospitalWashington, DCUSA
  2. 2.MedStar Georgetown University HospitalWashington, DCUSA

Personalised recommendations