Full text NHG Guideline on Diverticulitis (pdf)
The NHG Guideline Diverticulitis provides diagnostic and therapeutic recommendations for diverticulitis of the colon. Diverticulitis occurs when diverticula, usually in the descending colon, become inflamed. Complicated diverticulitis occurs when the inflammation is accompanied by complications, such as peridiverticulitis, abscess formation, or perforation.
Diverticulitis is a clinical diagnosis that can be established by a general practitioner. Uncomplicated diverticulitis is managed with watchful waiting without specific interventions, in which the general practitioner actively monitors the natural course.
Patients with signs of complicated diverticulitis or with persistent symptoms are referred to a gastroenterologist. The recommendations in this guideline are consistent with a Dutch guideline on management of diverticulitis in secondary care.
The guideline program of the College is designed for GPs in the context of the Dutch healthcare system. It makes no warranties concerning the efficacy of the guidelines used in other countries. The information is for educational and/or professional use only and is provided in good faith without any express or implied warranty. The College does not accept responsibility for any loss or damage occasioned by use of the information contained on the website nor from any access to the website. All access and use is at the risk of the end-user.
Berger MY, De Wit NJ, Vogelenzang R, Wetzels RV, Van Rijn-van Kortenhof NMM, Opstelten W