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Minerva

Treating acute diverticulitis . . . and other stories

BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k3696 (Published 06 September 2018) Cite this as: BMJ 2018;362:k3696

Antibiotics for acute diverticulitis

In the last few years, two large randomised controlled trials have reported the surprising finding that short term outcomes in people with acute uncomplicated diverticulitis are not improved by antibiotic treatment. Participants in one of these trials have now been followed for two years and there are no signs of any long term benefits either (Am J Gastroenterol doi:10.1038/s41395-018-0030-y). Rates of recurrent diverticulitis, complications of diverticulitis, or sigmoid resection were no lower in the group treated with antibiotics than in the group who were simply kept under observation.

Exercise and mental health

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