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Most people with uncomplicated diverticulitis recover following medical treatment. The median time to recovery is 14 days. Approximately 5% of people experience smoldering diverticulitis. [54] Diverticulitis recurs in around one-third of people – about 50% of recurrences occur within one year, and 90% within 5 years.
Complicated acute diverticulitis is distinguished from uncomplicated diverticulitis by the presence of abscess or colonic perforation. Chronic smoldering diverticulitis is caused by recurrent acute diverticulitis that does not respond to medical treatment but does not progress to complications such as abscess, peritonitis, enteric fistula, or ...
Infection of a diverticulum can result in diverticulitis. A 2013 study [11] found that it happens only about 4% of the time. That contradicts the prevailing thinking that 10% to 25% of people with diverticulosis go on to develop diverticulitis.
Treatment may consist of antibiotics, aminosalicylates (mesalamine), or prednisone. In rare cases, surgery with segmental resection may be considered. The long term prognosis is likely benign, although data is lacking. The prevalence of SCAD ranges from 0.3 - 1.3 percent.
Even with maximum treatment the risk of death can be as high as 50%. [2] A hole from a stomach ulcer occurs in about 1 per 10,000 people per year, while one from diverticulitis occurs in about 0.4 per 10,000 people per year. [1] [4]
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