The Out-patient, Non Antibiotic Management of Patients With Acute Uncomplicated Colonic Diverticulitis
The Out-patient, Non Antibiotic Management of Patients With Acute Uncomplicated Colonic Diverticulitis
Previous multicentre study NCT 01008488 indicates that a patient with CT-proven uncomplicated
 diverticulitis has a very low risk (1.4%) of developing severe complications such as
 perforations or abscesses. The question is whether or not hospitalization is necessary, and
 if patients in that case could return home without antibiotics.

 The purpose of this study is to evaluate if out-patients managements in uncomplicated colonic
 diverticulitis is possible without readmission or complications.
At the emergency room all patients with computed tomography verified acute uncomplicated
 diverticulitis will be asked about participation in the study. If They accept the
 participation, They will be send home with pain relief medicine. Every morning a nurse from
 our colorectal unit call the patient asking about the condition. The patients will have a
 visit at the surgery unit within 10 days.
Inclusion Criteria:

 -  Adults (age above 18 years, acute abdominal pain (Duration< 3 days), abdominal
 tenderness, elevated inflammatory parameters, CT- scan sign of uncomplicated
 diverticulitis(without sign of abscess or free air).

 Exclusion Criteria:

 -  diffuse peritonitis sepsis or abscess, drying Patients who are unable to intake of
 fluids orally, severe pain with need of repeated parenteral morphine treatment,
 immunological deficient patients incl. steroid treatment, pregnancy, dementia,
 patients who need hospitalization of other reasons