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Diverticulitis: Surgery
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Conventional And Alternative Treatment Options For Diverticulitis And Diverticulosis As with most disease states and conditions there are numerous treatment options including conventional western medicine interventions. In the case of diverticulitis the use of antibiotics and in extreme cases surgery are often the treatment methods of choice for diverticulitis.
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The various complications of diverticulitis need to be treated aggressively, because the death rate from such things as perforation and peritonitis is quite high. Abscesses can be drained of their infected contents by inserting a needle through the skin of the abdomen and into the abscess. When this is unsuccessful, open abdominal surgery will be required to remove the piece of the intestine containing the abscess. Fistulas require surgical repair, including the removal of the length of intestine containing the origin of the fistula, followed by immediate reconnection of the two free ends of intestine. Peritonitis requires open surgery. The entire abdominal cavity is cleaned by being irrigated (washed) with a warmed sterile saltwater solution, and the damaged piece of intestine is removed.
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According to the lawsuit, Christy was admitted to Thomas Memorial on May 24, 2006, and was treated for chronic diverticulitis. Kyer performed an elective sigmoid resection by laparoscopic means. Christy was released on May 28, 2006. However, on June 2, 2006, he went to the emergency room, complaining of severe abdominal pain. He was admitted and a CT scan revealed a free intraperitoneal error. He was taken back to surgery with Kyer on June 6.
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The need for surgery during an acute episode of diverticulitis is rare, but may be required for patients who fail to improve with medical therapy. Diverticulitis recurs in 25% of cases after the first episode and in 50% of cases after the second episode. Surgery is indicated in such patients.
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Complicated diverticulitis refers to the presence of a perforation, obstruction, an abscess, or a fistula. Approximately 25 percent of patients diagnosed with diverticulitis for the first time present with complicated diverticulitis. Nearly all of these patients require surgery.
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Treatment in patients with acute diverticulitis varies with the severity and type of the disease.16, 17 Antibiotic therapy may be adequate for treating mild cases of diverticulitis. Percutaneous drainage with CT or ultrasonographic guidance may be used in patients with large diverticular abscesses. Approximately 20% of patients with diverticulitis require surgical treatment.3 Surgery may be necessary to treat abscesses; fistulas18; free perforations; bowel obstructions; and, occasionally, hemorrhage.
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