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 |