Our Summary

This research paper is an update from a panel of international experts on how to best treat a common colon condition known as acute colonic diverticulitis. This condition, which often requires surgical intervention, can occur on either the left or right side of the colon. The updated guidelines take into account the latest research and advancements in treatment. They also highlight that in certain parts of the world, it is more common for this condition to occur on the right side of the colon.

FAQs

  1. What is the latest treatment for acute colonic diverticulitis according to the updated guidelines?
  2. Does acute colonic diverticulitis occur more frequently on one side of the colon?
  3. What new research and advancements are considered in the updated guidelines for treating diverticulitis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about diverticulitis surgery is to follow the post-operative care instructions closely, including taking prescribed medications, following a specific diet, and avoiding strenuous activities. It is important to attend follow-up appointments with your healthcare provider to monitor your recovery and address any concerns or complications promptly. Remember to communicate openly with your healthcare team about any symptoms or changes in your condition to ensure the best possible outcome after surgery.

Suitable For

In general, patients who are recommended diverticulitis surgery are those who have recurrent episodes of acute diverticulitis that do not respond to conservative treatments such as antibiotics and dietary changes. These patients may experience severe abdominal pain, fever, and complications such as abscesses, perforations, or fistulas. Surgery may also be recommended for patients with complications such as bowel obstruction or persistent bleeding.

Additionally, patients who have a history of complicated diverticulitis, such as recurrent diverticular bleeding or chronic inflammation, may also be recommended surgery. Patients with underlying conditions that increase their risk of complications, such as immunosuppression or severe obesity, may also be candidates for surgery.

Ultimately, the decision to recommend diverticulitis surgery is based on a thorough evaluation of each individual patient’s medical history, symptoms, and overall health. It is important for patients to discuss the potential risks and benefits of surgery with their healthcare provider to make an informed decision about their treatment options.

Timeline

Before surgery:

  1. Patient experiences symptoms such as abdominal pain, fever, nausea, and changes in bowel habits.
  2. Patient undergoes a physical examination and diagnostic tests such as CT scans or colonoscopy to confirm the diagnosis of diverticulitis.
  3. Patient may be prescribed antibiotics and placed on a clear liquid diet to help manage symptoms and reduce inflammation.

After surgery:

  1. Patient undergoes surgery to remove the affected portion of the colon if conservative treatments are ineffective or if complications such as abscesses or perforations occur.
  2. Patient is monitored closely post-surgery for any complications such as infection or bowel obstruction.
  3. Patient may be prescribed pain medication and instructed on how to care for the surgical incision.
  4. Patient will gradually transition back to a normal diet under the guidance of a healthcare provider.
  5. Patient may undergo follow-up appointments to monitor recovery and ensure there are no further complications.

What to Ask Your Doctor

  1. What are the risks and benefits of diverticulitis surgery?

  2. What is the success rate of diverticulitis surgery?

  3. What type of surgery will be performed and why?

  4. What is the recovery process like after diverticulitis surgery?

  5. Will I need to make any lifestyle changes after the surgery?

  6. Are there any long-term complications or side effects associated with diverticulitis surgery?

  7. How long will I need to stay in the hospital after the surgery?

  8. What is the likelihood of needing additional surgeries in the future?

  9. Are there any alternative treatments to surgery for diverticulitis?

  10. How soon can I expect to see improvements in my symptoms after the surgery?

Reference

Authors: Sartelli M, Weber DG, Kluger Y, Ansaloni L, Coccolini F, Abu-Zidan F, Augustin G, Ben-Ishay O, Biffl WL, Bouliaris K, Catena R, Ceresoli M, Chiara O, Chiarugi M, Coimbra R, Cortese F, Cui Y, Damaskos D, De’ Angelis GL, Delibegovic S, Demetrashvili Z, De Simone B, Di Marzo F, Di Saverio S, Duane TM, Faro MP, Fraga GP, Gkiokas G, Gomes CA, Hardcastle TC, Hecker A, Karamarkovic A, Kashuk J, Khokha V, Kirkpatrick AW, Kok KYY, Inaba K, Isik A, Labricciosa FM, Latifi R, Leppäniemi A, Litvin A, Mazuski JE, Maier RV, Marwah S, McFarlane M, Moore EE, Moore FA, Negoi I, Pagani L, Rasa K, Rubio-Perez I, Sakakushev B, Sato N, Sganga G, Siquini W, Tarasconi A, Tolonen M, Ulrych J, Zachariah SK, Catena F. Journal: World J Emerg Surg. 2020 May 7;15(1):32. doi: 10.1186/s13017-020-00313-4. PMID: 32381121