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Once diagnosed, those with uncomplicated disease (Hinchey Class 0 or 1a) can be safely managed without antibiotics or admission depending on frailty and comorbidities. Most older patients with complicated diverticulitis (abscess, perforation or obstruction) should be hospitalized. Elective or emergent surgery for complicated disease (Hinchey Class 1b\u20134) is associated with higher morbidity and mortality, particularly in older patients. The risk of diverticular bleeding and re-bleeding significantly increases with age, potentially due to the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and anticoagulants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Diverticular disease and its associated complications disproportionately affect older adults. Management should focus on resuscitation, having low threshold for comprehensive work up and re-evaluating medication use for comorbid conditions to prevent recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11894-025-00986-4","type":"journal-article","created":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T05:58:47Z","timestamp":1750485527000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Management of Colonic Diverticular Disease in the Older Adult"],"prefix":"10.1007","volume":"27","author":[{"given":"Hiep S.","family":"Phan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa L.","family":"Strate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,21]]},"reference":[{"issue":"7","key":"986_CR1","doi-asserted-by":"publisher","first-page":"980","DOI":"10.1016\/j.cgh.2016.01.020","volume":"14","author":"AF Peery","year":"2016","unstructured":"Peery AF, Keku TO, Martin CF, Eluri S, Runge T, Galanko JA, et al. 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