What are perioperative considerations for diverticulitis?

Updated: Aug 06, 2019
  • Author: Elie M Ghoulam, MD, MS; Chief Editor: BS Anand, MD  more...
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Answer

Preoperative antibiotics should be administered to all patients. Single- and multiple-drug regimens, as discussed in Medical Care, are appropriate choices. However, for patients with more extensive contamination, a single-drug regimen (with either imipenem/cilastin or piperacillin/tazobactam) or a multiple-drug regimen (with ampicillin, gentamicin, and metronidazole) may be warranted for peritonitis. Bowel preparation is usually possible for nonemergent situations.


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