“Diverticulitis a repetición en paciente adulto mayor”

Abstract

Diverticular disease is a problem that affects the colon and causes a significant cost to health systems as it leads to significant morbidity and mortality associated with its complications, including abscess formation, perforation, bleeding and colonic obstruction. Most patients with colonic diverticula around 70-80% have no symptoms or complications related to them at any time. Diverticulitis is the most common complication of diverticular disease of the colon, occurring in 10-25% of patients. Diagnosis of diverticulitis can be made in 66% of patients solely on the basis of clinical history and physical examination. The abdominopelvic computed tomography is currently the imaging method of choice, providing prognostic and useful information in the differential diagnosis. The medical treatment based on the administration of antibiotics, aimed at covering gram-negative and anaerobic germs, will resolve 70-100% of cases of uncomplicated diverticulitis.