By vgreene, 10 December, 2020 Don t limit diet or activity unrestricted diet pref d bed rest not rec d due to potential to darr general condition3
By vgreene, 10 December, 2020 Consider laparoscopic lavage only in very select pts w diffuse peritonitis 3 4 rec d against in pts w feculent peritonitis 2 reasonable per ESCP 3 but inferior to colectomy in purulent peritonitis uarr need for 2nd procedure per ASCRS2
By vgreene, 10 December, 2020 In stable pts w o comorbidities who require surgery Consider primary resection with anastomosis diverting stoma 3 4 per ASCRS decision to restore bowel continuity should incorporate pt factors intraoperative factors and surgeon pref2
By vgreene, 10 December, 2020 Admit for inpt medical tx if any are true uncomplicated dz on imaging but pt w significant comorbidity or unable to tolerate PO fluids immunocompromised pt esp due to steroids deterioration w outpt tx2