Traitement médical de la diverticulite sigmoïdienne

Diverticulosis is a common colonic disease in industrialized societies and its prevalence increases with age. Acute diverticulitis is defined by diverticular and peridiverticular inflammation and infection. For most patients, outpatient therapy is possible and hospitalization is only indicated if the patient is unable to eat, suffers from an acute attack, has complications or if symptoms fail to improve despite adequate outpatient therapy. The treatment of acute uncomplicated diverticulitis usually consists of broad-spectrum antibiotics covering both aerobic and anaerobic bacteria. Antimicrobial therapy is given for 7 to 10 days but the duration of the treatment can be longer if there are complications. If there is no clinical improvement within 2 or 3 days, repeat CT imaging is appropriate, as this may reveal an abscess, phlegmon or fistula, which might necessitate percutaneous drainage or surgery. The published literature does not support the recommendation of any prophylactic diet or medical treatment for reducing the risk of first or recurrent diverticulitis in patients with diverticulosis.