NHG-standaard ‘Diverticulitis’ vanuit chirurgisch perspectief

Diverticulitis is a common disease which, in the Netherlands, leads to approximately 13,500 hospitalizations annually. This figure represents merely 12% of actual cases encountered by general practitioners. The combined factors of older age, pain in the left lower abdomen which increases on movement, an elevated C-reactive protein level, the absence of vomiting and a prior episode of diverticulitis are highly predictive for this clinical diagnosis. This prediction model has been developed in secondary care centres. Its diagnostic value has yet to be proven in general practice.

Discriminating between complicated and uncomplicated episodes of diverticulitis in the primary care setting is challenging. As clear practice guidelines for referring patients are lacking, collaboration between primary and secondary care must be enhanced for the development of a prediction tool that can help identify the complicated cases at an earlier stage.

Conflict of interest: none declared. Financial support: none declared.