Diverticulitis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Surgery
Surgical intervention in patients with diverticulitis is not the first line of treatment unlike the medical therapy in such patients. However, surgery is required in the complicated patients with diverticulitis who are unresponsive to the medical therapy and the conservative measures against the disease.
Complicated Diverticulitis
Surgical intervention is the mainstay of therapy for complicated acute diverticulitis. Complicated cases are often associated with:[1][2]
- Peritonitis
- Failed percutaneous drainage of an abscess
- Enterocutaneous fistula formation
- Bowel obstruction
Emergency or urgent surgery
Emergency surgery is performed in life threatening cases of diverticulitis when it is complicated by perforation. Urgent surgery means operation that required to be done immediately in the same hospitalizaiton of the patient.
- Indications of the urgent surgery:
- Patient becomes unresponsive to the medical treatment
- Diverticulitis complicated by intestinal obstruction
- Abscess formation and not responsive to the percutanous drainage
References
- ↑ Sheth AA, Longo W, Floch MH (2008). "Diverticular disease and diverticulitis". Am J Gastroenterol. 103 (6): 1550–6. doi:10.1111/j.1572-0241.2008.01879.x. PMID 18479497.
- ↑ Wedell J, Banzhaf G, Chaoui R, Fischer R, Reichmann J (1997). "Surgical management of complicated colonic diverticulitis". Br J Surg. 84 (3): 380–3. PMID 9117315.