Top
20
Doctor insights on: Diverticulitis Operation Procedure

Share
Dr. Eric Kaplan
566 doctors shared insights

Diverticulitis (Definition)

An inflammation or infection in one or more small pouches ...Read more


2

2
When should I consider surgery for diverticulitis?

When should I consider surgery for diverticulitis?

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. ...Read more

See 2 more doctor answers
3

3
What makes diverticulitis so bad that surgery is necessary?

What makes diverticulitis so bad that surgery is necessary?

MAY cause bowel perf: Just like a 'ruptured appendix' is bad, so is a perforated bowel from diverticulitis. If the bowel contents (stool, bacteria) gets out of the intestine and into the 'body cavity' it can cause near-fatal peritonitis, sepsis (blood infection), shock , and eventual death. It is better to remove the appendix and/or the diverticular abcess before 'it's too late!'. ...Read more

See 1 more doctor answer
4

4
What is the recovery time after surgery for diverticulitis?

What is the recovery time after surgery for diverticulitis?

Elective?Emergency?: Surgery for diverticulitis may be performed emergently (to treat an active episode) or electively (to prevent future episodes). In the former situation, one may be quite ill and the operation is usually "open" with a colostomy, all leading to a prolonged convalescence. When elective, this is usually laparoscopic and w/o a stoma; people are home in 2-3 days and back to work in 2-3 weeks. ...Read more

See 1 more doctor answer
5

5
What can I do for my diverticulitis to avoid needing surgery?

What can I do for my diverticulitis to avoid needing surgery?

Take care of it: First and foremost take good care of your colon. This usually entails a high fiber diet with a lot of fresh fruits and vegetables. Avoid dehydration. Drink a lot of water. Keep your stools bulky and on the soft side. Your colon will be happy. Fiber supplements like metamucil might be needed. ...Read more

See 2 more doctor answers
6

6
Should a person have surgery after an attack of diverticulitis?

Should a person have surgery after an attack of diverticulitis?

Sometimes: It depends on if this is your first episode of diverticulitis and successfully treated with antibiotics, then no surgery indicated. If you had complicated diverticulitis with significant abscess or rupture, then surgery is more likely indicated. If you have had repeated episodes of diverticulitis requiring medical treatment, more than 2 to 3 episodes, then surgery may be indicated. ...Read more

See 1 more doctor answer
7

7
I have had 2 bouts of diverticulitis, 8 months apart. Do I need surgery?

I have had 2 bouts of diverticulitis, 8 months apart. Do I need surgery?

Need To See Surgeon: Factors that contribute to the decision to undergo elective colon resection for diverticular disease include the number and severity of prior attacks, patient age and overall health, and extent of diverticuli. In general, one has to balance the benefit of reducing the chance for future attacks with the risk of major abdominal surgery. This decision is best made with a general surgeon. ...Read more

See 1 more doctor answer
8

8
How much time does it usually take to recover after diverticulitis surgery?

4-6 weeks: Depending on whether the surgery is laparoscopic or open changes the recovery. Typically my patients are home after 4-5 days and back doing usual activity 3 weeks later. If the surgery was open - requiring an old fashioned incision - the stay is 5-7 days and it is 4-6 weeks of recovery. ...Read more

See 1 more doctor answer
9

9
I had surgery for diverticulitis on 2003 - can I get this back?And can I eat strawberry seeds?

I had surgery for diverticulitis on 2003 - can I get this back?And can I eat strawberry seeds?

Yes it can recur : Surgery usually involves a resection of the part of the colon infected so that a recurrence can occur in another part of the colon. As far as diet is concerned the diverticular diet was devised in the 1920s and excluded all seeds, etc.(things that dont get digested) however in more recent years these things do not seem to be a cause of diverticulitis. In the 1920s a physician found a seed in the. ...Read more

See 1 more doctor answer
10

10
What are the common complications of diverticulitis, and how often do people need to have surgery for it?

What are the common complications of diverticulitis, and how often do people need to have surgery for it?

Multiple: Perforation, obstruction, abscess and fistula formation. On occasion bleeding and stricture formation can complicate it. If a patient keeps having recurrent attacks requiring IV antibiotics and hospitalization, than surgery should be considered as an option to resolve the problem. ...Read more

See 1 more doctor answer
11

11
What to do if you've had diverticulitis surgery and have it come back?

May need surgery: Recurrent diverticulitis occurs 10-20% of the time after good operation. Not every bout needs surgery, though. If several recurrent documented bouts (seen on ct scan) then you might need repeat surgery. Pain alone is poor indication. ...Read more

12

12
How do u get diverticulitis, how do u know if u need surgery to cure it? What happens during surgery, how does it cure it?

How do u get diverticulitis, how do u know if u need surgery to cure it? What happens during surgery, how does it cure it?

Infection: Small out-pouches form on the outside of the colon, most often in the left lower abdomen. Infection of these pouches is diverticulitis. Prevent by eating high fiber foods, avoid junk foods, avoid constipation, drink plenty of liquids, take fiber supplements such as metamucil. Surgery to remove part of the colon is only for multiple episodes of recurrent infections, colon stricturing, bleeding. ...Read more

See 1 more doctor answer
14

14
Have had 4 rounds of antib for diverticulitis shld I have reconnect surgery btw I am unfortunately an alchoholic which i'm trying to work on btw im 53?

Follow up with GI: Have you had a colonoscopy in between these episodes? If not you must as it could be missing a abnormality . Alcoholism has more to do with recurrent pancreatitis rather than diverticulitis. Talk to you gastroenterologist. ...Read more

See 2 more doctor answers
15

15
Does diverticulitis require surgery? And if so, what is involved i researched as much as i can, but have not found the answers i've been looking for. What is involved in a surgery for diverticulitis. I have heard multiple stories from multiple sources and

First : First of all, diverticulitis usually does not require surgery and can be handled medically with antibiotics. If surgery is required it can frequently be done with a resection where they can reattatch the colon right back together. In some cases depending on the severity of the diverticulitis and/or location, a temporary colostomy may be needed until all the infection heals. Without knowing the specifics of the case a single answer is not possible. ...Read more

See 1 more doctor answer
16

16
When is surgery necessary or required for treatment of diverticulitis?

When is surgery necessary or required for treatment of diverticulitis?

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. ...Read more

See 2 more doctor answers
17

17
Is it possible for a diverticulitis rupture with an ostomy bag after surgery?

Is it possible for a diverticulitis rupture with an ostomy bag after surgery?

Possible: It only requires one pocket to leak to cause trouble. Unless your surgeon resected all diseased segment (not recommended) it is possible to have recurrent infection-even rupture. When was the surgery? It may be residual infection that will eventually clear. ...Read more

See 1 more doctor answer
18

18
What point should I consider surgery for diverticulitis, 2 flare ups in a month. (had diverticulosis for years) last scope was nov. 13.

What point should I consider surgery for diverticulitis, 2 flare ups in a month.  (had diverticulosis for years) last scope was nov. 13.

Discuss with surgeon: Surgery should be a last resort but this is something to discuss with your gastroenterologist and/or surgeon. You should weigh the benefits of having surgery vs the risks, complications of such a surgery. ...Read more

See 1 more doctor answer
19

19
Was given a scope test in colon area. It showed a stricture from earlier surgery 4 diver. Do I need another test to find diverticulitis in same area?

Don't know: I am not sure i understand, but maybe you had colon resection surgery for diverticulitis, and later you had a colonoscopy showing a stricture or narrowing at the surgical site. Unless you are having painful constipation issues, the stricture can be left alone. If the stricture is very narrow, likely your gastroenterologist can dilate it open. I do not know of needing any other tests for this. ...Read more

See 1 more doctor answer
20

20
What are the reasons for inflammation of testicles post diverticulitis surgery ?

What are the reasons for inflammation of testicles post diverticulitis surgery ?

Venous congestion: The most common part of the colon removed for diverticulitis is the sigmoid colon, which is on the left side. The blood vessels behind this part of the colon connect to those that go to the left testicle, therefore it would be possible for those vessels to be either injured or more likely irritated by the surgery , thus resulting in swelling and possibly venous congestion which would extend to test. ...Read more

See 1 more doctor answer