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dc.contributor.authorYou, Hayley
dc.contributor.authorSweeny, Amy
dc.contributor.authorCooper, Michelle L
dc.contributor.authorVon Papen, Michael
dc.contributor.authorInnes, James
dc.date.accessioned2020-01-28T01:21:22Z
dc.date.available2020-01-28T01:21:22Z
dc.date.issued2019
dc.identifier.issn0025-729X
dc.identifier.doi10.5694/mja2.50276
dc.identifier.urihttp://hdl.handle.net/10072/390910
dc.description.abstractRadiological evidence of inflammation, using computed tomography (CT), is needed to diagnose the first occurrence of diverticulitis. CT is also warranted when the severity of symptoms suggests that perforation or abscesses have occurred. - Diverticulitis is classified as complicated or uncomplicated based on CT scan, severity of symptoms and patient history; this classification is used to direct management. - Outpatient treatment is recommended in afebrile, clinically stable patients with uncomplicated diverticulitis. - For patients with uncomplicated diverticulitis, antibiotics have no proven benefit in reducing the duration of the disease or preventing recurrence, and should only be used selectively. - For complicated diverticulitis, non‐operative management, including bowel rest and intravenous antibiotics, is indicated for small abscesses; larger abscesses of 3–5 cm should be drained percutaneously. Patients with peritonitis and sepsis should receive fluid resuscitation, rapid antibiotic administration and urgent surgery. - Surgical intervention with either Hartmann procedure or primary anastomosis, with or without diverting loop ileostomy, is indicated for peritonitis or in failure of non‐operative management. - Colonoscopy is recommended for all patients with complicated diverticulitis 6 weeks after CT diagnosis of inflammation, and for patients with uncomplicated diverticulitis who have suspicious features on CT scan or who otherwise meet national bowel cancer screening criteria.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.publisher.placeAustralia
dc.relation.ispartofpagefrom421
dc.relation.ispartofpageto427
dc.relation.ispartofissue9
dc.relation.ispartofjournalMedical Journal of Australia
dc.relation.ispartofvolume211
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsMedicine, General & Internal
dc.subject.keywordsGeneral & Internal Medicine
dc.subject.keywordsEvidence-based medicine
dc.titleThe management of diverticulitis: a review of the guidelines
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationYou, H; Sweeny, A; Cooper, ML; Von Papen, M; Innes, J, The management of diverticulitis: a review of the guidelines, Medical Journal of Australia, 2019, 211 (9), pp. 421-427
dc.date.updated2020-01-27T23:37:04Z
gro.hasfulltextNo Full Text
gro.griffith.authorCooper, Michelle L.
gro.griffith.authorSweeny, Amy L.
gro.griffith.authorVon Papen, Michael


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