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- Title
The out-patient management of patients with acute mild-to-moderate colonic diverticulitis.
- Authors
Mizuki, A.; Nagata, H.; Tatemichi, M.; Kaneda, S.; Tsukada, N.; Ishii, H.; Hibi, T.
- Abstract
: There are no management criteria for optimum out-patient care in mild-to-moderate acute colonic diverticulitis.: To enable such patients to be managed in an out-patient setting, by establishing criteria and treatment protocols.: We conducted an open trial and follow-up study from 1997 to 2002. On the basis of ultrasonography, we defined and categorized mild-to-moderate acute colonic diverticulitis ranging from limited inflammation within diverticulum to an abscess< 2 cm in diameter. Subjects were treated as out-patients and followed a 10-day treatment protocol consisting of an oral antibiotic and a sports drink for the first 3 days. Physical examination and laboratory testing helped determine whether or not a patient could resume a liquid diet on day 4, and a regular diet on day 7.: Of the 70 patients, 68 were successfully treated. Two patients required hospitalization. Of the 65 patients who were tracked over several months [median (intraquarter range) = 30.8 (11.9–44.2) months], 16 had one or more clinical recurrences. The medical cost per episode was 80% lower than in-patient treatment.: Patients with mild-to-moderate acute colonic diverticulitis can be safely and successfully treated as out-patients using this protocol.
- Subjects
OUTPATIENT medical care; COLON diseases; PROCTOLOGY; DIVERTICULITIS; HOSPITAL care; ULTRASONIC imaging
- Publication
Alimentary Pharmacology & Therapeutics, 2005, Vol 21, Issue 7, p889
- ISSN
0269-2813
- Publication type
Article
- DOI
10.1111/j.1365-2036.2005.02422.x