title: [Current treatment for diverticulitis: state of affairs in 2016].
abstract: - Uncomplicated diverticulitis does not routinely require antibiotic treatment and can even be managed in the outpatient setting.- As yet no medical therapies have proven themselves useful in the prevention of recurrence.- Complicated diverticulitis with an abscess smaller than 4 cm is treated with antibiotics, larger abscesses are treated by percutaneous drainage, and only if treatment fails surgery is required.- Laparoscopic lavage is no better than partial resection in purulent peritonitis.- Perforated diverticulitis with faecal peritonitis is treated by a Hartmann's procedure; in selected cases resection and primary anastomosis may be considered.- The decision whether a resection should be laparoscopic or open is based on the surgeon's experience.- The choice for elective resection for recurrent diverticulitis is still made on a patient-by-patient basis.- Only high-risk patients should have a follow-up colonoscopy to exclude malignancy. The remaining patients are referred back to the Dutch national colorectal cancer screening programme.
authors.affiliation: Academisch Medisch Centrum, afd. Chirurgie, Amsterdam.
authors.forename: S
authors.initials: S
authors.lastname: van Dijk
authors.forename: M A
authors.initials: MA
authors.lastname: Boermeester
mesh_terms: D000038:Abscess / Q000209:etiology / Q000601:surgery; D003113:Colonoscopy; D004238:Diverticulitis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004322:Drainage; D017558:Elective Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D010538:Peritonitis / Q000209:etiology / Q000601:surgery; D007507:Therapeutic Irrigation; D016896:Treatment Outcome