The AGA recommendations on the treatment of diverticulitis include:
Antibiotics should be used selectively in patients with uncomplicated diverticulitis.
Colonoscopy should be performed after resolution of acute diverticulitis if a high-quality examination has not recently been performed.
Prophylactic colonic resection for uncomplicated diverticulitis should be performed on a case-by-case basis.
A fiber-rich diet or fiber supplementation as well as physical activity (ideally, daily rigorous exercise) are recommended after resolution.
Aspirin use can be continued after resolution, particularly if it is being used for secondary prevention.
It is not necessary for patients with diverticulosis or diverticulitis to avoid nuts and popcorn.
If possible, avoid nonaspirin, nonsteroidal anti-inflammatory drugs.
Mesalamine, rifaximin, and probiotics are not recommended to prevent recurrence.
Read more about the treatment of diverticular disease.
This Fast Five Quiz was excerpted and adapted from the Medscape Drugs & Diseases article Diverticulitis.
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Cite this: B.S. Anand. Fast Five Quiz: Diverticulitis and Diverticulosis - Medscape - Jul 01, 2020.