Our Summary

This study focused on understanding the incidence of hidden abscesses (pockets of pus) in patients with a certain type of colon disease, called “symptomatic uncomplicated diverticular disease”, which can negatively impact daily life.

The researchers looked at data from 158 patients who underwent a specific type of surgery for this disease from January 2016 to June 2018. They divided the patients into three groups based on the type of diverticular disease they had.

Surprisingly, they found that almost half of the patients (47.5%) had hidden abscesses that were only discovered during surgery or later examination. Interestingly, patients with a type of the disease called “smoldering diverticular disease” were more likely to have these abscesses.

In simple terms, the study found that hidden abscesses are common in patients with this type of colon disease, particularly those with the “smoldering” type. This discovery could be important for improving the treatment and management of the disease.

FAQs

  1. What is the incidence of hidden abscesses in patients with symptomatic uncomplicated diverticular disease?
  2. How does the type of diverticular disease affect the likelihood of a patient having hidden abscesses?
  3. How could the discovery of hidden abscesses impact the treatment and management of diverticular disease?

Doctor’s Tip

One helpful tip a doctor might tell a patient about sigmoidectomy is to be aware of the possibility of hidden abscesses, especially if they have symptomatic uncomplicated diverticular disease. Regular follow-up appointments and imaging studies may be necessary to monitor for any potential abscesses that could impact recovery and overall health. It is important to communicate any new or worsening symptoms to your healthcare provider promptly.

Suitable For

Patients with symptomatic uncomplicated diverticular disease, particularly those with the “smoldering” type, may be recommended sigmoidectomy if they have hidden abscesses that are impacting their daily life. Additionally, patients who do not respond well to conservative treatments such as dietary changes, antibiotics, and pain management may also be recommended sigmoidectomy. Ultimately, the decision to undergo sigmoidectomy will depend on the individual patient’s symptoms, disease severity, and overall health status.

Timeline

Before sigmoidectomy:

  1. Patient experiences symptoms of symptomatic uncomplicated diverticular disease, such as abdominal pain, bloating, and changes in bowel habits.
  2. Patient undergoes diagnostic tests, such as colonoscopy or CT scan, to confirm the diagnosis.
  3. Based on the severity of the disease, patient and healthcare provider decide on the need for surgery.
  4. Patient undergoes sigmoidectomy surgery to remove the affected part of the colon.

After sigmoidectomy:

  1. Patient undergoes post-operative care and recovery in the hospital.
  2. Patient may experience pain, discomfort, and temporary changes in bowel habits after surgery.
  3. Patient is monitored for any complications, such as infection or leakage at the surgical site.
  4. Patient gradually resumes normal activities and follows up with healthcare provider for follow-up care.
  5. In some cases, hidden abscesses may be discovered during surgery or later examination, which may require additional treatment.
  6. Patient may experience improvement in symptoms and quality of life following sigmoidectomy surgery.

What to Ask Your Doctor

  1. What is the purpose of a sigmoidectomy and why is it being recommended for me?
  2. What are the potential risks and complications associated with sigmoidectomy?
  3. How long is the recovery period after undergoing a sigmoidectomy?
  4. Will I need to make any lifestyle changes or follow a special diet after the surgery?
  5. How will a sigmoidectomy affect my bowel movements and overall digestive health?
  6. Are there any alternative treatments or procedures that I should consider before deciding on sigmoidectomy?
  7. What can I expect in terms of long-term outcomes and potential recurrence of diverticular disease after sigmoidectomy?
  8. Will I need to undergo any further testing or monitoring after the surgery?
  9. How experienced are you in performing sigmoidectomies and what is your success rate with this procedure?
  10. Are there any specific factors about my individual case that may impact the success of the surgery or my recovery process?

Reference

Authors: Mari GM, Crippa J, Borroni G, Cocozza E, Roscio F, Scandroglio I, Origi M, Ferrari G, Forgione A, Riggio V, Pugliese R, Costanzi ATM, Maggioni D; on behalf of the AIMS Academy Clinical Research Network. Journal: Dig Surg. 2020;37(3):199-204. doi: 10.1159/000500084. Epub 2019 May 22. PMID: 31117071