Our Summary

This research paper looks at the impact of weight loss surgery (bariatric surgery) on people with clinically severe obesity who also have diverticulitis, a disease where small pouches in the colon become inflamed or infected. The study used data from hospitalizations between 2010 and 2014.

The research found that patients who were severely obese had a higher risk of dying, needing emergency surgery, or having part of their colon removed (colectomy) when they were admitted to hospital with diverticulitis. This group was also more likely to be readmitted to hospital with the same issue within 30 days and 6 months.

However, patients who had previously had weight loss surgery had better outcomes and were less likely to be readmitted to hospital. This suggests that weight loss surgery can improve the outlook for people with severe obesity and diverticulitis. However, the researchers say more studies are needed to understand why this is the case and to explore the role of weight loss in preventing severe diverticulitis.

FAQs

  1. Does weight loss surgery decrease the risk of complications for patients with severe obesity and diverticulitis?
  2. How does severe obesity impact the outcomes of patients admitted to the hospital for diverticulitis?
  3. What further research is needed to understand the role of weight loss surgery in preventing severe diverticulitis?

Doctor’s Tip

A helpful tip a doctor might tell a patient about diverticulitis surgery is to consider weight loss surgery if they are severely obese. This can improve outcomes and reduce the risk of complications associated with diverticulitis. It is important to discuss this option with a healthcare provider to see if it is the right choice for the individual’s specific situation.

Suitable For

In general, patients who are experiencing severe symptoms of diverticulitis that do not respond to conservative treatment measures such as antibiotics, dietary changes, and rest may be recommended for diverticulitis surgery. Additionally, patients who have recurring episodes of diverticulitis, complications such as abscesses or fistulas, or who have a weakened immune system may also be candidates for surgery.

Patients who have a history of diverticulitis-related complications such as perforations, obstructions, or significant bleeding may also be recommended for surgery to prevent further complications and improve their quality of life. Additionally, patients who have a family history of diverticulitis or who have a genetic predisposition to the disease may be considered for surgery as a preventive measure.

Ultimately, the decision to undergo diverticulitis surgery is based on the individual patient’s specific circumstances, the severity of their symptoms, and their overall health and medical history. It is important for patients to discuss their options with their healthcare provider to determine the most appropriate treatment plan for their condition.

Timeline

Before diverticulitis surgery:

  1. Patient may experience symptoms such as abdominal pain, bloating, constipation, and fever.
  2. Patient may undergo diagnostic tests such as a CT scan or colonoscopy to confirm the diagnosis of diverticulitis.
  3. Patient may be treated with antibiotics and a liquid diet to help reduce inflammation in the colon.

After diverticulitis surgery:

  1. Patient undergoes laparoscopic or open surgery to remove the affected part of the colon or to drain an abscess.
  2. Patient may need to stay in the hospital for a few days for monitoring and recovery.
  3. Patient will need to follow a special diet to allow the colon to heal, including gradually reintroducing solid foods.
  4. Patient will need to take pain medication and antibiotics as prescribed by their doctor.
  5. Patient will have follow-up appointments with their surgeon to monitor their recovery and ensure the success of the surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications of diverticulitis surgery?

  2. Are there alternative treatments or management strategies for diverticulitis that I should consider before opting for surgery?

  3. How will the surgery impact my quality of life in terms of diet, physical activity, and overall health?

  4. What is the success rate of diverticulitis surgery in terms of preventing future flare-ups or complications?

  5. How long is the recovery period after diverticulitis surgery, and what can I expect in terms of pain, restrictions, and follow-up care?

  6. Will I need to make any long-term lifestyle changes after the surgery to prevent future episodes of diverticulitis?

  7. Are there any specific dietary guidelines or restrictions I should follow after the surgery to support my recovery and prevent complications?

  8. What are the chances of needing additional surgeries or treatments in the future after having diverticulitis surgery?

  9. How will my weight and overall health impact the success of the surgery and my long-term outcomes?

  10. Are there any support resources or healthcare professionals that can help me navigate the decision-making process and recovery journey after diverticulitis surgery?

Reference

Authors: Patel K, Porter K, Krishna SG, Needleman BJ, Brethauer SA, Conwell DL, Hussan H. Journal: Obes Surg. 2022 Feb;32(2):365-373. doi: 10.1007/s11695-021-05764-5. Epub 2021 Nov 3. PMID: 34731417