4 doctors weighed in:

When is surgery necessary or required for treatment of diverticulitis?

4 doctors weighed in
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Michael Sawyer
Dr. Michael Sawyer
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Dr. Niranjan Rao
Surgery - Vascular
1 doctor agrees

In brief: See below

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

In brief: See below

Generally, if you have had three or more serious episodes, perforation, or narrowing/stricture from chronic recurring attacks.
Dr. Niranjan Rao
Dr. Niranjan Rao
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Dr. Barry Rosen
Surgery
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Barry Rosen
Dr. Barry Rosen
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