Discover and read the best of Twitter Threads about #Diverticulitis

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Consenso 🇪🇺 #Diverticulitis 2️⃣0️⃣2️⃣0️⃣
1. Diverticulosis vs Enf. diverticular vs Diverticulitis
2. Riesgos: Edad, #obesidad y genética.
3. 1° episodio = el ➕ grave. Severidad ⬇️ con las recurrencias
4. Colonoscopia en 6 semanas para diverticulitis no complicada
@DCRjournal Image
5. Poca correlación entre clínica y severidad.
6. TAC contrastada = gold standar
7. #Diverticulitis aguda NO complicada, NO requiere #antibióticos. Si en inmunosuprimidos.
• Si tolera vía oral - Manejo ambulatorio, excepto en comorbilidades graves o #inmunosupresión Image
8. No hay suficiente evidencia para recomendar Dieta alta en fibra, Rifaximina, Mesalazina o #probióticos para disminuir recurrencias.
9. Abscesos > 3 cm = Drenaje percutáneo
10. #Peritonitis fecal - Abierta o laparos según experiencia del #Cirujano Image
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