Erschienen in:
01.05.2016 | Editorial
Pushing the boundaries of the management of uncomplicated diverticulitis
verfasst von:
Y. Ribas, A. D’Hoore
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 5/2016
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Excerpt
The incidence of diverticulitis has increased worldwide and poses a significant burden on healthcare resources. Fortunately, most cases of acute diverticulitis are uncomplicated and may be treated conservatively. The literature on acute diverticulitis has increased substantially, leading to a reconsideration of the conventional wisdom, which was mostly based on surgeons’ personal preferences. Nevertheless, some aspects of the traditional approach may be easier to change than others. Many doctors may have wondered about the rationale for dietary restrictions or the need for hospital admission of patients with uncomplicated diverticulitis. However, other issues such as the need for antibiotics are still controversial, and the support of robust evidence will be required to change common practice. It should be emphasized that, although recent publications have challenged the accepted dogmas, recent guidelines remind us that the quality of evidence for most management issues is low. …