Diverticular disease: A therapeutic overview

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Feb 6, 2010 (publication date) through Apr 25, 2024

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World Journal of Gastrointestinal Pharmacology and Therapeutics

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2150-5349

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Pharmacol Ther. Feb 6, 2010; 1(1): 27-35
Published online Feb 6, 2010. doi: 10.4292/wjgpt.v1.i1.27

Table 2 Symptomatic diverticular disease: Current therapeutic approach

Symptomatic uncomplicated	Uncomplicated diverticulitis	Complicated diverticulitis
Fibers	Mild + familiar support	Abscess
Spasmolytics	Outpatients treatment	Drainage (CT)
Anti-cholinergic	Liquid diet	Drainage + surgery
Antibiotics	Oral antibiotics	Perforation and fistulas
Not recommended (ACG, ASCRS Guidelines)	Improvement within 2/3 d	Surgery
Rifaximin	Severe, comorbidity, elderly, immunodepression	Acute obstruction
	Inpatients treatment	Conservative therapy
	"Bowel rest"	Chronic obstruction
	I.V. antibiotics	Endoscopic treatment
	Oral antibiotics at discharging (ACG, ASCRS Guidelines)	Surgery
		Bleeding
		Conservative therapy
		Angiography
		Colonoscopy
		Surgery

Citation: Tursi A. Diverticular disease: A therapeutic overview. World J Gastrointest Pharmacol Ther 2010; 1(1): 27-35
URL: https://www.wjgnet.com/2150-5349/full/v1/i1/27.htm
DOI: https://dx.doi.org/10.4292/wjgpt.v1.i1.27