A new multi-society guideline suggests elective resection for patients with persistent symptoms after recurrent uncomplicated diverticulitis and for those recovering from a first diverticular abscess—but these are conditional recommendations, not mandates.
- For uncomplicated diverticulitis, it suggests no routine antibiotics; after a first uncomplicated episode, no routine follow-up colonoscopy.
- Recommendations draw on 27 studies with very low- to moderate-certainty evidence.
The panel notes limited evidence on major complications, emergency surgery, stoma-free survival, and quality of life. Discuss recurrence risk and the trade-offs of surgery versus observation with each patient.
Journal Article by Huo B, Al Khaldi M (…) Boutros M et 32 al. in Surg Endosc
© 2026. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.