A member asked:

When is surgery necessary or required for treatment of diverticulitis?

4 doctors weighed in across 3 answers

Complications: Of all people who have diverticulosis, only about 1% end up needing surgery. Surgery is reserved for complications of diverticulitis including generalized peritonitis, chronic narrowing of the colon (stricture), and post-inflammatory connections between the colon and bladder or vagina (fistulae). In addition, some people with many recurrent attacks opt for surgery.

Answered 10/3/2016

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See below: Generally, if you have had three or more serious episodes, perforation, or narrowing/stricture from chronic recurring attacks.

Answered 10/3/2016

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Dr. Michael Sawyer answered

Specializes in General Surgery

When complicated: Most diverticulitis is successfully treated with antibiotics. Indications for surgery include free perforation with sepsis, an abscess that can't be treated with percutaneous drainage, fistulas to other organs, strictures or obstruction, and occasionally numerous recurrent episodes of diverticulitis.

Answered 7/3/2020

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