LYCOS RETRIEVER 
Diverticulitis: Infections
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BACKGROUND: Laparoscopically assisted sigmoid resection has become an accepted method for treating uncomplicated diverticulitis. This prospective study aimed to compare the results of laparoscopic sigmoid resection for uncomplicated and complicated sigmoid diverticular disease used to check the indication for the complicated stages of diverticulitis. METHODS: All patients who underwent laparoscopic resection for sigmoid diverticulitis at the authors' hospital between 1999 and 2005 were divided into two groups: group 1 (uncomplicated diverticular disease) and group 2 (complicated diverticular disease). The exclusion criteria specified generalized peritonitis, signs of sepsis, and extensive previous abdominal surgery. RESULTS: Of the 203 patients (108 men and 95 women) who underwent laparoscopically assisted resection during the examination period, 112 were assigned to group 1 and 91 to group 2. Differences in favor of group 1 were found for the duration of surgery (154 vs 166 min), the conversion rate (1.8% vs 9.9%), the postoperative wound infections (2.7% vs 13.2%), and the postoperative hospitalization period (12.3 +/- 3.9 vs 15.0 +/- 5.6 days).
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The severity of diverticulitis symptoms are dependent upon how much inflammation and infection have occurred. If you are experiencing any of these diverticulitis symptoms, please visit your doctor and do not attempt to self-diagnosis. These symptoms may ... be indicative of other gastro-intestinal disorders. In many cases, antibiotics and a liquid diet will be prescribed until the diverticula are no longer inflamed. There are also specific diet guidelines that will help decrease the amount flare ups.
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In complicated diverticulitis, bacteriamay subsequently infect the outside of the colonif an inflameddiverticulum bursts open. If the infectionspreads to the lining of the abdominal cavity, (peritoneum), this can cause a potentially fatal peritonitis. Sometimes inflamed diverticula can cause narrowing of the bowel, leading to an obstruction. Also the affected part of the colon could adhere to the bladderor other organin the pelvic area, causing a fistula, or abnormal communication between the colon and an adjacent organ.
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A person with diverticulosis may get diverticulitis when waste matter and bacteria are trapped in a pouch (diverticula). This blockage interferes with the blood supply to the area, and infection sets in. The tissue then becomes inflamed or infected, and in severe cases may even rupture. An attack of diverticulitis can result in fever, pain and tenderness around the left side of the lower abdomen.
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Acute diverticulitis is one of the most frequently acute diseases of the colon. One cause is a low-fiber diet. Increased pressure within the colon leads to the formation of numerous thin-walled pouches called diverticula within the bowel wall. This condition is called diverticulosis. The diverticula are always at risk of infection - acute diverticulitis - which can lead to perforation of the bowel wall and other complications.
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The most common symptom of diverticulitis is abdominal pain. The most common sign is tenderness around the left side of the lower abdomen. If infection is the cause, fever, nausea, vomiting, chills, cramping, and constipation may occur as well. The severity of symptoms depends on the extent of the infection and complications.
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