There are no management criteria for optimum out-patient care in mild-to-moderate acute colonic diverticulitis.
Dr Mizuk and colleagues from Japan established criteria and treatment protocols to enable such patients to be managed in an out-patient setting.
The investigators conducted an open trial and follow-up study from 1997 to 2002.
The research team defined and categorized mild-to-moderate acute colonic diverticulitis on the basis of ultrasonography, ranging from limited inflammation within diverticulum to an abscess less than 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.
|The medical cost per episode was 80% lower than in-patient treatment |
|Alimentary Pharmacology and Therapeutics|
The team used physical examination and laboratory testing tohelp determine whether or not a patient could resume a liquid diet on day 4, and a regular diet on day 7.
The researchers found that of the 70 patients, 68 were successfully treated and 2 patients required hospitalization.
The investigators also noted that of the 65 patients who were tracked over several months, 16 patients had 1 or more clinical recurrences.
Dr Mizuk concludes; “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.”