Evidence map›Paper›PMID 33279517›Full record

GuidelineGastroenterology2021

AGA Clinical Practice Update on Medical Management of Colonic Diverticulitis: Expert Review.

Anne F Peery, Aasma Shaukat, Lisa L Strate

Registry-linked trialOpen access · greenAbstract readPractice GuidelineReview
In one paragraph

Guideline in Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07625267 (Non-antibiotic Management in Acute Uncomplicated Diverticulitis), which is not on this map. Cited by 91 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 5 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07625267 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Non-antibiotic Management in Acute Uncomplicated Diverticulitis: Randomized Open Label-controlled Trial

TypeinterventionalSponsorMontefiore Medical CenterRan2026 to 2028Enrolled556ConditionsAcute Uncomplicated DiverticulitisArmsSymptomatic treatment (ibuprofen and acetaminophen), Amoxicillin-clavulanate, Ciprofloxacin plus metronidazole
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 5 syntheses or guidelines pooled it, 167 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Natural Language Processing Algorithm Accurately Classifies Diverticulitis-Related Complications and Predicts Long-Term Outcomes.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  10. Article
  11. Routine colonoscopy after acute diverticulitis.Proceedings (Baylor University. Medical Center) · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Utility of Colonoscopy After Acute Colonic Diverticulitis.Diagnostics (Basel, Switzerland) · 2026
    Review
  17. Article
  18. Genetic Risk, Healthy Lifestyle, and Risk Stratification for Diverticulitis.Journal of the American College of Surgeons · 2026
    Article
  19. Article
  20. Article

31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Anne F PeeryUniversity of North Carolina, Chapel Hill, North Carolina. Electronic address: anne_peery@med.unc.edu.
Aasma ShaukatUniversity of Minnesota, Minneapolis, Minnesota.
Lisa L StrateUniversity of Washington, Seattle, Washington.
University of Minnesota System · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · US

Funding

Risk Factors for Asymptomatic DiverticulosisR01DK094738 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KEKU, TEMITOPE O., SANDLER, ROBERT S. · 2012 to 2022
$4.8M
Inflammation and Risk of DiverticulitisR01DK101495 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHAN, ANDREW T, STRATE, LISA L · 2014 to 2022
$4.4M
Comparative Effectiveness Research and Patient Reported Outcomes in DiverticulitisK23DK113225 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PEERY, ANNE · 2017 to 2019
$581k
NIDDK NIH HHS K23 DK113225NIDDK NIH HHS R01 DK094738NIDDK NIH HHS R01 DK101495
6 · The paper itself

Abstract

Colonic diverticulitis is a painful gastrointestinal disease that recurs unpredictably and can lead to chronic gastrointestinal symptoms. Gastroenterologists commonly care for patients with this disease. The purpose of this Clinical Practice Update is to provide practical and evidence-based advice for management of diverticulitis. We reviewed systematic reviews, meta-analyses, randomized controlled trials, and observational studies to develop 14 best practices. In brief, computed tomography is often necessary to make a diagnosis. Rarely, a colon malignancy is misdiagnosed as diverticulitis. Whether patients should have a colonoscopy after an episode of diverticulitis depends on the patient's history, most recent colonoscopy, and disease severity and course. In patients with a history of diverticulitis and chronic symptoms, alternative diagnoses should be excluded with both imaging and lower endoscopy. Antibiotic treatment can be used selectively rather than routinely in immunocompetent patients with mild acute uncomplicated diverticulitis. Antibiotic treatment is strongly advised in immunocompromised patients. To reduce the risk of recurrence, patients should consume a high-quality diet, have a normal body mass index, be physically active, not smoke, and avoid nonsteroidal anti-inflammatory drug use except aspirin prescribed for secondary prevention of cardiovascular disease. At the same time, patients should understand that genetic factors also contribute to diverticulitis risk. Patients should be educated that the risk of complicated diverticulitis is highest with the first presentation. An elective segmental resection should not be advised based on the number of episodes. Instead, a discussion of elective segmental resection should be personalized to consider severity of disease, patient preferences and values, as well as risks and benefits.

Indexed as

Anti-Bacterial AgentsAspirinCardiovascular DiseasesColonColonoscopyDiagnosis, DifferentialDiet TherapyDiverticulitis, ColonicEvidence-Based MedicineGastroenterologyHumansIntestinal MucosaMeta-Analysis as TopicObservational Studies as TopicPatient Education as TopicRandomized Controlled Trials as TopicAnti-Bacterial AgentsAspirinColectomyColonoscopyDiverticular Disease

Identifiers

PMID33279517
PMCPMC7878331
OpenAlexW3108725181

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.