Diverticulitis Complications: Prevention, Recognition, and Treatment

I still remember that night in vivid detail. What started as a familiar twinge of discomfort in my lower left abdomen—something I'd grown accustomed to with diverticulitis—quickly transformed into something far more menacing.

The pain became unbearable, radiating through my entire abdomen. A high fever developed, and by morning, I couldn't stand upright. My wife rushed me to the emergency room where a CT scan revealed what my gastroenterologist had warned could happen: my diverticulitis had perforated, causing an abscess and localized peritonitis.

"Had you waited another day," the ER doctor told me solemnly, "we might be dealing with a much more serious situation."

That frightening experience taught me the vital importance of understanding diverticulitis complications—not just their medical definitions, but how to recognize their warning signs and take immediate action.

Why Understanding Complications Matters

Diverticulitis complications are not just medical jargon to be memorized; they're serious developments that can dramatically alter the course of your treatment and recovery. According to recent studies, approximately 25% of patients with acute diverticulitis will experience complications, with that number rising to nearly 40% in those over 65 years of age.

While diverticulitis itself can be painful and disruptive, its complications can be life-threatening if not promptly addressed. Knowledge truly is power—understanding these complications can mean the difference between a brief hospital stay and a lengthy, complex medical journey.

In this comprehensive guide, I'll share everything I've learned about diverticulitis complications—both from my personal experience and from years of research and conversations with medical professionals. We'll explore prevention strategies, recognition techniques, and treatment approaches for everything from mild complications to severe, emergency situations.

Understanding Diverticulitis Complications: The Basics

Before diving into specific complications, let's establish a foundation of understanding about what complications are and why they occur.

What Exactly Are Diverticulitis Complications?

In simple terms, diverticulitis complications are secondary problems that develop as a result of the primary condition (inflammation of diverticula in the colon). They represent an escalation of the disease beyond its typical symptoms and can involve various systems and organs.

Types of Complications

Diverticulitis complications generally fall into two categories:

Localized complications: These occur in or around the affected segment of colon and include abscess formation, perforation, fistula development, and strictures.

Systemic complications: These affect the entire body and can include conditions like sepsis (bloodstream infection) and systemic inflammatory response syndrome.

Risk Factors for Developing Complications

Not everyone with diverticulitis will experience complications. Certain factors increase your risk:

Age: Adults over 65 face higher risk
Underlying health conditions: Diabetes, kidney disease, or immune disorders
Medication use: Regular use of NSAIDs, steroids, or immunosuppressants
Multiple recurrences: Having had diverticulitis multiple times
Delayed treatment: Waiting too long to seek medical care for acute symptoms
Lifestyle factors: Smoking, obesity, and physical inactivity

As someone who has lived with diverticulitis for years, I've learned that understanding your personal risk factors is critical. My complication developed partly because I had experienced three prior episodes and had been taking ibuprofen regularly for joint pain—something I didn't realize was increasing my risk.

Mild to Moderate Complications

Not all diverticulitis complications are immediately life-threatening. Some develop gradually and, while serious, can be managed effectively with proper care.

Recurrent Diverticulitis

While not always classified as a complication, recurring episodes of diverticulitis deserve attention as they can lead to more serious issues.

How common is recurrence? Approximately 20-30% of patients will experience at least one recurrence after their first episode. After a second episode, the risk of additional recurrences increases substantially. For a deeper dive into this topic, read our article on why diverticulitis recurs and how to prevent it.

My own journey included four episodes before my major complication. Each recurrence seemed to come more easily than the last, with triggers becoming less obvious.

Long-term impact: Repeated inflammation can lead to scarring and thickening of the colon wall, potentially setting the stage for more serious complications like strictures.

Prevention strategies:

Maintain a high-fiber diet (25-35g daily) once acute episodes resolve
Stay well-hydrated (aim for 2-3 liters of fluid daily)
Exercise regularly to promote healthy bowel function
Consider working with a gastroenterologist on a preventive medication plan

Post-Diverticulitis IBS (Irritable Bowel Syndrome)

Many patients, myself included, develop IBS-like symptoms following diverticulitis episodes.

What causes it? The inflammation from diverticulitis can alter gut nerve sensitivity and disrupt the gut microbiome, leading to ongoing digestive disturbances even after the inflammation resolves. We explore this phenomenon in detail in our article on why some patients develop new symptoms after diverticulitis.

Symptoms to watch for:

Abdominal pain that comes and goes
Changes in bowel habits (diarrhea, constipation, or alternating between both)
Bloating and gas
Pain that improves after bowel movements

How to distinguish from diverticulitis recurrence: Unlike acute diverticulitis, Post-Diverticulitis IBS typically doesn't cause fever, severe localized pain, or elevated inflammatory markers in blood tests.

Management approaches:

Working with a gastroenterologist to rule out active inflammation
Dietary modifications (sometimes a low-FODMAP approach helps)
Stress management techniques
Targeted probiotics to restore gut balance
Medications for symptom management when necessary

Colonic Strictures

Recurring inflammation and healing can lead to narrowing of the colon, known as a stricture.

How strictures form: As the inflamed tissue heals, scar tissue develops. Over time, this scarring can cause the colon to narrow, potentially restricting the passage of stool.

Warning signs:

Progressive constipation
Narrowing of stool caliber
Increased bloating and abdominal distension
Occasional cramping pain, especially after meals

Diagnosis: Strictures are typically diagnosed through colonoscopy, CT scan, or contrast studies of the colon.

Treatment options:

Dietary modifications to prevent blockage
Endoscopic dilatation (stretching the narrowed area)
Surgical intervention if the stricture causes significant obstruction

Chronic Bowel Irregularities

Even without formal IBS or strictures, many people experience lasting changes to their bowel function after diverticulitis.

Common long-term changes:

Increased sensitivity to certain foods
More frequent bowel movements
Greater awareness of digestive sensations
Changes in stool consistency

For me, these chronic changes required a significant adjustment in my approach to eating and daily activities. I found that maintaining a food diary helped me identify specific triggers and develop a personalized management strategy.

Serious Complications

Now, let's address the more severe complications that require immediate medical attention. Recognizing these early can be life-saving.

Diverticular Bleeding

While bleeding technically can occur with diverticulosis (the presence of diverticula without inflammation), it's often discussed alongside diverticulitis complications. For comprehensive information on this topic, see our detailed guide on diverticular bleeding causes, symptoms, and treatment.

What causes the bleeding? Blood vessels near diverticula can erode and rupture, leading to bleeding into the colon. This bleeding can range from mild to severe.

How common is it? Diverticular bleeding accounts for approximately 40% of all cases of lower gastrointestinal bleeding in adults over 65.

Warning signs to never ignore:

Bright red or maroon blood in your stool
Black, tarry stools (indicating digested blood)
Weakness, dizziness, or fainting
Rapid heart rate
Decreased urine output

What to do: Diverticular bleeding requires immediate medical attention. Do not "wait and see" if bleeding is significant or persistent.

Treatment approaches:

IV fluids and potentially blood transfusions
Locating the source of bleeding through colonoscopy, angiography, or nuclear medicine scans
Endoscopic interventions to stop bleeding
Embolization procedures to block bleeding vessels
Surgery in severe cases that don't respond to other treatments

Abscess Formation

An abscess is a pocket of infected fluid and pus that forms when the infection in a diverticulum extends into the surrounding tissues. Learn more about this and other structural complications in our detailed article on fistulas and abscesses.

How abscesses develop: When a diverticulum becomes inflamed and infected, bacteria can penetrate the colon wall, causing a localized infection that the body attempts to contain by forming a walled-off pocket.

Common locations:

Pericolic: Adjacent to the affected colon segment
Pelvic: In the pelvic cavity
Retroperitoneal: Behind the peritoneum (the membrane lining the abdominal cavity)

Clinical symptoms:

Persistent or increasing abdominal pain
Prolonged fever despite antibiotics
Tender abdominal mass (sometimes)
Continued elevated white blood cell count
General malaise and fatigue

Diagnostic methods: CT scan is the gold standard for diagnosing diverticular abscesses, showing their exact location and size.

Treatment strategies:

Small abscesses (<2cm) may resolve with antibiotics alone
Larger abscesses typically require drainage
Percutaneous drainage: Using CT or ultrasound guidance, a radiologist places a drainage catheter
Surgical drainage: May be necessary for complex or inaccessible abscesses

My own abscess required percutaneous drainage, a procedure I was initially anxious about but which provided almost immediate relief. The drain remained in place for 10 days while antibiotics continued to treat the infection.

Peritonitis

Peritonitis—inflammation of the peritoneum (the membrane lining the abdominal cavity)—is one of the most serious diverticulitis complications. We've dedicated an entire article to this potentially life-threatening condition—read peritonitis from diverticulitis to understand it fully.

How peritonitis develops: It occurs when a diverticulum ruptures completely, allowing intestinal contents to spill into the abdominal cavity, causing widespread infection.

Emergency warning signs:

Sudden, severe abdominal pain that worsens with movement
Rigid, board-like abdomen
High fever and chills
Rapid heart rate
Confusion or altered mental status
Decreased urine output
Difficulty breathing

Why it's a medical emergency: Peritonitis can rapidly progress to septic shock, a life-threatening condition where infection leads to dangerous drops in blood pressure and organ failure.

Treatment protocol:

Immediate hospitalization
Intravenous antibiotics
Surgical intervention to clean the abdominal cavity and repair the perforation
Possible temporary or permanent colostomy
Intensive care monitoring

Recovery process: Recovery from peritonitis is typically lengthy, often involving:

Extended hospital stay (7-14 days or longer)
Gradual return to normal diet
Wound care if surgery was performed
Physical therapy to regain strength
Emotional support for psychological impact

Fistula Formation

A fistula is an abnormal connection between the colon and another structure or organ. For an in-depth understanding of how fistulas develop and are treated, refer to our article on fistulas and abscesses.

Most common types of fistulas:

Colovesical fistula (colon to bladder)

Symptoms: Recurrent urinary tract infections, air in urine, fecal material in urine
My friend Sarah developed this complication and described the confusion and embarrassment she felt before diagnosis

Colovaginal fistula (colon to vagina)

Symptoms: Passage of gas or stool through vagina, recurrent vaginal infections

Colocutaneous fistula (colon to skin)

Symptoms: Fecal drainage from an opening on the skin of the abdomen

Coloenteric fistula (colon to small intestine)

Symptoms: Often minimal symptoms, may cause diarrhea or malabsorption

Diagnostic approach:

CT scan with oral and IV contrast
Fistulography (injecting contrast into the fistula)
Colonoscopy
Cystoscopy (for colovesical fistulas)

Treatment options:

Surgery is the definitive treatment for most fistulas
Single-stage resection of the affected colon segment and repair of the involved organ
Two-stage procedure with temporary ostomy in complex cases
Medical management to stabilize until surgery

Intestinal Obstruction

Obstruction occurs when the passage of intestinal contents is blocked, either from strictures (narrowing) or adhesions (scar tissue) related to diverticulitis. Our detailed article on intestinal obstruction from diverticulitis covers this complication extensively.

Obstruction warning signs:

Severe abdominal cramping that comes in waves
Abdominal distension (swelling)
Inability to pass gas or stool
Nausea and vomiting (especially vomiting undigested food)
Loud bowel sounds or complete silence on abdominal examination

Progression: Obstruction can be partial initially but may progress to complete obstruction, which is a medical emergency.

What to do: Seek immediate medical attention for suspected obstruction.

Treatment approach:

Nasogastric tube to decompress the bowel
IV fluids and electrolyte correction
Surgery for complete obstruction or if conservative measures fail

Sepsis

Sepsis—a life-threatening condition caused by the body's extreme response to infection—can develop from severe diverticulitis or its complications. Learn more about this emergency situation in our detailed article on sepsis from diverticulitis.

How sepsis develops: Bacteria from the infected diverticula enter the bloodstream, triggering a cascade of inflammatory responses throughout the body.

Early warning signs:

Fever above 101°F (38.3°C) or hypothermia below 96.8°F (36°C)
Heart rate >90 beats per minute
Respiratory rate >20 breaths per minute
Confusion or disorientation
Extreme pain or discomfort
Shortness of breath
Clammy or sweaty skin

Progression to septic shock:

Difficulty breathing
Abrupt change in mental status
Decreased urine output
Abnormal heart function
Significant drop in blood pressure
Cold, pale, or mottled skin

Treatment protocol:

Immediate hospitalization, often in intensive care
Broad-spectrum antibiotics administered within 1 hour of recognition
IV fluids for blood pressure support
Oxygen supplementation
Vasopressor medications if needed
Source control (treating the underlying infection)

Long-term effects: Survivors of sepsis may experience:

Post-sepsis syndrome (fatigue, poor concentration, joint pain)
Increased vulnerability to subsequent infections
Cognitive changes
Post-traumatic stress

Preventing Complications

After my own close call with severe complications, prevention became my priority. Here's what I've learned about reducing the risk of diverticulitis complications:

Proper Treatment from the Start

Take antibiotics as prescribed: Complete the full course of antibiotics for acute diverticulitis, even if symptoms improve quickly.

Follow liquid diet recommendations: During acute episodes, follow your doctor's recommendations about clear liquids or low-residue diets.

Don't rush back to normal activities: Allow adequate healing time after an acute episode.

Dietary Strategies for Prevention

Gradual fiber increase: Once acute symptoms resolve, gradually increase dietary fiber to 25-35g daily. For a comprehensive approach to nutrition at every stage of diverticulitis, check out our complete diverticulitis diet guide.

Fiber sources to consider:

Soluble fiber: Oats, barley, fruits, legumes
Insoluble fiber: Whole grains, nuts, seeds (contrary to older recommendations, most experts now believe these are safe)

Potential trigger foods to monitor:

Red meat (especially processed meats)
Refined grains
Ultra-processed foods
Alcohol

Consider incorporating anti-inflammatory foods that may help diverticulitis into your diet as well.

Individualized approach: What triggers one person may not affect another. I maintain a food diary to identify my personal triggers. Learn how to create your own in our article on the ultimate diverticulitis food diary template.

Lifestyle Modifications

Regular physical activity: Aim for at least 150 minutes of moderate exercise weekly to promote bowel regularity and reduce inflammation.

Stress management: Chronic stress can worsen digestive symptoms and potentially trigger flares.

Weight management: Obesity is associated with increased diverticulitis risk and complications.

Smoking cessation: Smoking impairs healing and increases complication risks.

Moderate alcohol consumption: Excessive alcohol can irritate the digestive tract.

Regular Monitoring and Check-ups

Follow-up colonoscopy: Most gastroenterologists recommend a colonoscopy 6-8 weeks after an acute episode to rule out other conditions and assess the colon.

Regular medical check-ups: Maintain regular appointments with your healthcare provider.

Monitoring inflammatory markers: Periodic blood tests can detect early signs of inflammation.

Symptom Tracking System

Creating a symptom tracking system has been invaluable for me in preventing complications. Here's a simple approach:

Daily tracking:

Bowel movements (frequency, consistency, any abnormalities)
Pain levels (location, intensity, duration)
Diet (potential trigger foods)
Stress levels
Physical activity

Pattern recognition:

Document potential triggers
Note early warning signs that preceded previous flares
Track effectiveness of interventions

Sharing with healthcare providers:

Bring your tracking log to appointments
Discuss emerging patterns
Collaborate on prevention strategies

Recognizing Early Warning Signs

Early recognition of complications can dramatically improve outcomes. Here are the warning signs you should never ignore:

Red Flag Symptoms

Severe, persistent, or worsening abdominal pain: Especially if different from your typical diverticulitis pain.

High fever (101°F/38.3°C or higher): Particularly if it persists despite antibiotics.

Inability to keep fluids down: Due to nausea, vomiting, or severe pain.

Signs of bleeding: Blood in stool (bright red, maroon, or black/tarry).

Changes in bowel habits: Complete constipation or significant changes in stool caliber.

Severe fatigue or weakness: Beyond what you'd expect with a typical flare.

Mental status changes: Confusion, extreme drowsiness, or agitation can indicate severe infection.

When to Seek Emergency Care

Don't hesitate to seek immediate medical attention if you experience:

Severe, constant abdominal pain
Rigid, board-like abdomen
High fever with chills
Dizziness or fainting
Rapid heart rate or breathing
Confusion or altered consciousness
Unable to pass gas or stool for over 24 hours
Blood in stool

Using a Symptom Assessment Tool

I've developed a simple assessment tool that helps me determine when to call my doctor versus when to go to the emergency room:

Call doctor if:

Mild to moderate pain that persists beyond 24 hours
Low-grade fever (less than 101°F/38.3°C)
Mild nausea or vomiting but able to keep some fluids down
Constipation or diarrhea without severe pain
Symptoms similar to previous mild episodes

Go to emergency room if:

Severe, persistent pain, especially if different from usual
High fever (greater than 101°F/38.3°C)
Unable to keep any fluids down for 12+ hours
Signs of bleeding (blood in stool)
Severe weakness, dizziness, or confusion
Rigid abdomen or extreme tenderness
Unable to pass gas or stool for more than 24 hours

Treatment of Complications

If you do develop complications, understanding treatment options can help you collaborate effectively with your healthcare team.

Non-Surgical Approaches

Enhanced antibiotic therapy:

For uncomplicated abscesses or early infections
Often involves broad-spectrum antibiotics administered intravenously
May require a PICC line for home administration of antibiotics

For more information on antibiotic treatments, see our detailed guide on antibiotics for diverticulitis.

Percutaneous drainage:

For accessible abscesses
Performed by interventional radiologists
Typically uses CT guidance to place drainage catheters
Allows pus to drain while antibiotics work
May require several days to weeks with the drain in place

Bowel rest and nutrition support:

Nothing by mouth (NPO) status to rest the bowel
Intravenous fluids for hydration
Parenteral nutrition if prolonged bowel rest required

Surgical Interventions

When surgery becomes necessary:

For perforation with peritonitis
For abscesses that can't be drained percutaneously
For fistulas
For obstruction that doesn't resolve
For recurrent episodes with complications

Common surgical procedures:

For a comprehensive overview of surgical options, read our article on surgical options for diverticulitis.

Primary resection with anastomosis:

Removal of the affected colon segment
Reconnection of healthy ends
Preferred when conditions are favorable and contamination is minimal

Hartmann's procedure:

Removal of the affected colon segment
Creation of a temporary colostomy
Rectal stump left in place for later reconnection
Often used in emergency situations with significant contamination

Laparoscopic lavage:

Cleaning the abdominal cavity without removing colon
Sometimes used in selected cases of perforated diverticulitis
Controversial and not universally recommended

Fistula repair:

Resection of affected colon segment
Repair of involved organ
May require specialist involvement (urologist, gynecologist)

Recovery Process by Complication Type

Abscess:

IV antibiotics for 1-2 weeks
Drain removal when output minimal
Gradual diet advancement
Consideration of elective surgery later

Perforation with peritonitis:

ICU stay initially (typically 2-5 days)
Total hospital stay often 7-14 days
Gradual return to activity over 4-6 weeks
Colostomy care if created
Possible reversal surgery 3-6 months later

Fistula:

Recovery depends on organs involved
Typically 4-6 weeks for initial recovery
May require specialized wound care
Nutritional support often needed

Obstruction:

If resolved without surgery: gradual diet advancement, bowel retraining
If surgical intervention: standard post-surgical recovery (4-6 weeks)

My Personal Recovery Journey

After my abscess and localized peritonitis, my recovery journey included:

Hospital phase:

Five days of IV antibiotics
Percutaneous drain for 10 days
Clear liquid diet gradually advancing to low residue

Home recovery:

Two more weeks of oral antibiotics
Gradual reintroduction of fiber
Limited physical activity for 4 weeks
Weekly blood tests to monitor inflammation

Long-term recovery:

Colonoscopy at 8 weeks
Dietary modifications based on identified triggers
Development of a comprehensive prevention plan

Long-Term Management After Complications

Experiencing complications changed my approach to living with diverticular disease. Here's what I've learned about long-term management. For a comprehensive guide on daily life with this condition, see our article on living with diverticulitis:

Recovery Timeline

Recovery varies significantly based on the specific complication and individual factors:

Physical recovery:

Uncomplicated abscess: 2-4 weeks
Peritonitis requiring surgery: 6-12 weeks
Fistula repair: 6-12 weeks depending on organs involved
Colostomy reversal: 4-6 weeks additional recovery

Nutritional recovery:

Gradual reintroduction of fiber
Personalized diet based on tolerance
Potential need for nutritional supplements initially

Psychological recovery:

Often overlooked but critically important
May include anxiety about recurrence
Sometimes involves body image issues (especially with ostomy)
Potential post-traumatic stress symptoms

Nutritional Support During Recovery

Staged diet progression:

Clear liquids
Full liquids
Low-residue diet
Gradual fiber introduction
Maintenance high-fiber diet

Foods to emphasize during healing:

Protein-rich foods to support tissue repair
Anti-inflammatory foods (fatty fish, olive oil, fruits, vegetables)
Prebiotic foods to restore gut microbiome (once cleared for fiber)

Nutritional supplements to consider:

Vitamin D (often low in diverticulitis patients)
Probiotics (specific strains may help)
Omega-3 fatty acids (may reduce inflammation)

Physical Rehabilitation

Graduated activity resumption:

Short walks as soon as permitted
Gradually increasing duration and intensity
Avoiding heavy lifting for 4-6 weeks after surgery
Core-strengthening exercises when cleared by doctor

Safe exercises during recovery:

Walking
Gentle swimming (once wounds healed)
Stationary biking
Restorative yoga

Warning signs to stop activity:

Increased pain
Bleeding
Fever
Excessive fatigue

Emotional Well-being

Common emotional responses:

Anxiety about recurrence
Depression during prolonged recovery
Frustration with dietary limitations
Grief over lifestyle changes

For more on this important aspect, read our article on diverticulitis and mental health.

Support strategies:

Connect with others who understand (support groups)
Practice stress reduction techniques
Consider short-term therapy if struggling
Set realistic recovery expectations

Creating a Long-Term Prevention Plan

After a complication, preventing future problems becomes paramount. Here's how to create an effective prevention plan:

Personalized Management Strategy

The most effective prevention plans are individualized based on:

Your specific complication history
Identified personal triggers
Lifestyle considerations
Coexisting health conditions

Components of a comprehensive plan:

Dietary guidelines
Exercise routine
Medication strategy
Stress management approach
Symptom monitoring system
Emergency plan

Collaborating with Healthcare Providers

Building your healthcare team:

Gastroenterologist as the primary specialist
Primary care physician for coordination
Surgeon (if you've had surgical complications)
Dietitian for nutritional guidance
Mental health professional if needed

Questions to ask your gastroenterologist:

Am I at high risk for recurrent complications?
Should I consider elective surgery to prevent future episodes?
What surveillance testing do I need?
Are there medications I should take preventively?
What symptoms should prompt immediate contact?

Keeping medical records organized:

Maintain copies of important test results
Keep a log of hospitalizations and procedures
Document medication reactions
Update emergency contacts

Emergency Preparedness

Creating an emergency kit:

List of medications and allergies
Summary of medical history
Emergency contact information
Copy of advance directives
Insurance information
Hospital bag checklist

For a step-by-step guide on developing a comprehensive plan, read our article on creating your diverticulitis emergency plan.

Family education:

Teach family members to recognize warning signs
Create clear instructions for emergency situations
Designate a medical decision-maker
Ensure someone can access your medical information

Conclusion: Living Well Despite Complications

Diverticulitis complications can be frightening and life-altering, but they don't define your future. With proper understanding, vigilant monitoring, and proactive management, you can minimize the risk of recurrent complications and maintain a good quality of life.

After my own complication, I initially feared I'd never feel "normal" again. Three years later, I've established a new normal—one that includes more awareness of my body's signals, better dietary habits, and strategic preventive care. While I remain conscious of potential complications, diverticulitis no longer dominates my daily life. If you'd like to read more about personal experiences with this condition, check out my diverticulitis story.

Remember these key principles:

Know your personal risk factors and warning signs
Develop an individualized prevention strategy
Maintain open communication with healthcare providers
Respond quickly to concerning symptoms
Balance vigilance with living fully

Most importantly, connect with others who understand what you're going through. The emotional burden of managing diverticular disease with a history of complications is significant, but you don't have to carry it alone.

Your Next Steps

Schedule a follow-up appointment with your gastroenterologist to discuss prevention strategies
Start a symptom tracking journal
Create or update your emergency plan
Share this article with family members to help them understand your condition
Consider joining our diverticulitis support community to connect with others who've experienced complications
Stay updated with our latest research on diverticulitis for new developments in complication prevention and treatment

Have you experienced diverticulitis complications? Share your story in the comments below to help others feeling isolated in their journey.

Disclaimer: This article is based on personal experience and medical research but is not intended to replace professional medical advice. Always consult with your healthcare provider for diagnosis and treatment of diverticulitis and its complications.

References

Strate LL, Morris AM. Epidemiology, Pathophysiology, and Treatment of Diverticulitis. Gastroenterology. 2019;156(5):1282-1298.e1.
Jamal Talabani A, Lydersen S, Endreseth BH, Edna TH. Major increase in admission- and incidence rates of acute colonic diverticulitis. Int J Colorectal Dis. 2014;29(8):937-945.
Böhm SK. Risk Factors for Diverticulosis, Diverticulitis, Diverticular Perforation, and Bleeding: A Plea for More Subtle History Taking. Viszeralmedizin. 2015;31(2):84-94.
Peery AF, Crockett SD, Murphy CC, et al. Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2018. Gastroenterology. 2019;156(1):254-272.e11.
American Society of Colon and Rectal Surgeons (ASCRS). Diverticular Disease Expanded Information. 2020.
American College of Gastroenterology Guidelines for Management of Acute Diverticulitis. Am J Gastroenterol. 2018;113(9):1324-1327.
Rezapour M, Ali S, Stollman N. Diverticular Disease: An Update on Pathogenesis and Management. Gut Liver. 2018;12(2):125-132.
Centers for Disease Control and Prevention (CDC). Sepsis: Clinical Information. 2021.