Our Summary

This research paper investigates the impact of a particular type of surgery (elective sigmoid resection) on bowel function in patients with diverticular disease. Diverticular disease is a common condition that affects the digestive system. Some patients choose to undergo this surgical procedure due to symptoms or complications of the disease.

The researchers looked at records of patients who had this surgery between May 2015 and July 2018. They used a standard questionnaire (Colorectal Functional Outcome questionnaire) to assess the patients’ bowel function before and after surgery. The questionnaire looks at different aspects of bowel function and assigns a score from 0 to 100, with higher scores indicating worse function.

They found that in their study group of 49 patients, the surgery did not significantly change bowel function in the early period after the operation. This was the case for all the different aspects of bowel function that the questionnaire assesses.

The researchers concluded that doctors should inform patients, especially those with symptoms, that their bowel function is likely to remain the same after surgery.

FAQs

  1. What is the purpose of the elective sigmoid resection surgery?
  2. How does the Colorectal Functional Outcome questionnaire assess bowel function in patients?
  3. What was the main finding of the research about the impact of elective sigmoid resection on bowel function in patients with diverticular disease?

Doctor’s Tip

However, it is important to note that individual experiences can vary. It is important for patients to follow their doctor’s instructions for post-operative care, including proper diet and activity levels, to optimize recovery and bowel function. Additionally, patients should communicate any changes in bowel habits or symptoms to their healthcare provider to ensure proper management and follow-up care.

Suitable For

Patients who are typically recommended sigmoidectomy are those with severe symptoms of diverticular disease that do not respond to conservative treatments, such as dietary changes, medications, or other less invasive procedures. These symptoms may include recurrent episodes of diverticulitis (inflammation of the diverticula), persistent abdominal pain, bleeding, bowel obstruction, or fistulas (abnormal connections between organs). Additionally, patients who have complications of diverticular disease, such as abscesses, perforations, or strictures, may also be candidates for sigmoidectomy.

It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine if sigmoidectomy is the most appropriate course of action for their specific situation.

Timeline

Before sigmoidectomy:

  1. Patients experience symptoms of diverticular disease such as abdominal pain, bloating, constipation, and diarrhea.
  2. Patients may undergo diagnostic tests such as colonoscopy or CT scan to confirm the diagnosis.
  3. Patients may be prescribed medications to manage symptoms and prevent complications.
  4. Patients may be advised to make dietary and lifestyle changes to help manage the disease.
  5. In some cases, patients may choose to undergo surgery, including sigmoidectomy, to alleviate symptoms or prevent complications of diverticular disease.

After sigmoidectomy:

  1. Patients undergo sigmoidectomy surgery to remove part of the sigmoid colon affected by diverticular disease.
  2. Patients are monitored closely in the hospital for complications and to ensure proper healing.
  3. Patients may experience temporary changes in bowel function, such as diarrhea or constipation, as the body adjusts to the surgery.
  4. Patients are advised to follow a special diet and gradually reintroduce regular foods to prevent complications.
  5. Patients may undergo follow-up appointments with their healthcare provider to monitor their recovery and bowel function.
  6. Research shows that in the early period after surgery, bowel function may not significantly change for patients who undergo sigmoidectomy for diverticular disease.

What to Ask Your Doctor

  1. What is the purpose of a sigmoidectomy and how will it help with my diverticular disease symptoms?
  2. What are the potential risks and complications associated with sigmoidectomy?
  3. What is the recovery process like after sigmoidectomy and how long will it take before I can resume normal activities?
  4. Will I need to make any changes to my diet or lifestyle after sigmoidectomy?
  5. How will sigmoidectomy affect my bowel function in the long term?
  6. Are there any alternative treatments or procedures that I should consider before opting for sigmoidectomy?
  7. How experienced are you in performing sigmoidectomies and what is your success rate?
  8. What follow-up care will I need after sigmoidectomy?
  9. How can I manage any post-operative pain or discomfort?
  10. Are there any specific warning signs or symptoms that I should watch out for after sigmoidectomy?

Reference

Authors: Goldwag JL, Lyn RV, Wilson LR, Wilson MZ, Ivatury SJ. Journal: J Surg Res. 2019 Sep;241:135-140. doi: 10.1016/j.jss.2019.03.041. Epub 2019 Apr 22. PMID: 31022679