Ads
related to: diverticulitis abscess drainage recovery time
Search results
Results From The WOW.Com Content Network
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.
Uncomplicated diverticulitis is generally treated conservatively with bowel rest and no antibiotics given recent studies have shown that antibiotics are likely not necessary. [15] Complicated diverticulitis is treated with antibiotics and may require surgical interventions such as abscess drainage or fistula repair. [8]
Diverticulitis is defined as diverticular disease with signs and symptoms of diverticular inflammation. Clinical features of acute diverticulitis include constant abdominal pain, localized abdominal tenderness in the left lower quadrant of the abdomen, nausea, vomiting, constipation or diarrhea, fever and leukocytosis .
Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT, through the skin, via the rectum, or transvaginal routes. [3] Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2]
The Hinchey classification – proposed by Hinchey et al. in 1978 [1] classifies a colonic perforation due to diverticular disease. The classification is I–IV: Hinchey I – localised abscess (para-colonic) Hinchey II – pelvic abscess; Hinchey III – purulent peritonitis (the presence of pus in the abdominal cavity)
Repeated aspirations of an abscess are preferable in those with multiple abscesses or when the abscess is located in a predominate brain site. Administration of antimicrobials in a high-dose for an extended period of time can offer an alternative treatment strategy in this type of patients and may substitute for surgical evacuation of an abscess.