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Presse Med. 2015 Nov;44(11):1113-25. doi: 10.1016/j.lpm.2015.08.004. Epub 2015 Sep 8.

[Treatment of the acute diverticulitis: A systematic review].

[Article in French]

Author information

1
AP-HP, université Paris Descartes, faculté de médecine, hôpital Cochin, gastroenterology and endoscopy unit, Sorbonne Paris Cité, 75014 Paris, France. Electronic address: johann.dreanic@cch.aphp.fr.
2
AP-HP, université Paris Descartes, faculté de médecine, hôpital Cochin, gastroenterology and endoscopy unit, Sorbonne Paris Cité, 75014 Paris, France.
3
AP-HP, université Paris Descartes, faculté de médecine, hôpital Cochin, digestive surgery, Sorbonne Paris Cité, 75014 Paris, France.

Abstract

Acute diverticulitis is a common disease with increasing incidence. In most of cases, diagnosis is made at an uncomplicated stage offering a curative attempt under medical treatment and use of antibiotics. There is a risk of diverticulitis recurrence. Uncomplicated diverticulitis is opposed to complicated forms (perforation, abscess or fistula). Recent insights in the pathophysiology of diverticulitis, the natural history, and treatments have permitted to identify new treatment strategies. For example, the use of antibiotics tends to decrease; surgery is now less invasive, percutaneous drainage is preferred, peritoneal lavage is encouraged. Treatments of the diverticulitis are constantly evolving. In this review, we remind the pathophysiology and natural history, and summarize new recommendations for the medical and surgical treatment of acute diverticulitis.

PMID:
26358668
DOI:
10.1016/j.lpm.2015.08.004
[Indexed for MEDLINE]

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