Tratamiento ambulatorio de la diverticulitis aguda no complicada

Abstract

Introduction. Acute diverticulitis is a major complication of diverticular disease. Antibiotic therapy has classically been considered the mainstay of treatment for these patients. The aim of this study is to present the results of the outpatient treatment protocol for mild acute diverticulitis in our centre, assess its results and understand if it is needed to modify said protocol based on the current evidence. Material and methods. Retrospective analysis of the patients included in the outpatient treatment protocol for uncomplicated acute diverticulitis in our centre in the period between the 1st of January and the 31 of December of 2018. The presence of complications in the same episode, the need for admission and recurrence rate until December 2019. Finally, the reports of the colonoscopies performed after the resolution of the process and the need or not for surgical treatment were studied. Results. A total of 64 patients were included in the outpatient protocol, representing 68% of the total of diverticulitis treated. During follow-up 6 patients required admission (9.3%) in the following days. Of the total number of patients studied, 5 (7.8%) presented recurrence throughout the years 2018-2019, only one of them was a severe recurrence and required surgical treatment. The data from our study indicate that the outpatient treatment of mild acute diverticulitis in our setting is safe with the current protocol, since 90.7% were treated successfully.