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Diverticulitis: Surgery
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[One] complication of diverticulitis is the formation of a fistula. A fistula is an abnormal connection between two organs, or between an organ and the skin. The most common type of fistula is between the bladder and colon. This requires surgery to remove the fistula and affected part of the colon.
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If you have several attacks of acute diverticulitis, your doctor may want to remove the affected section of the intestine when you are free of symptoms. You may ... need surgery if intravenous therapy does not effectively treat your acute attack of diverticulitis. Whatever your treatment, your chances for a full recovery are very good if you receive prompt medical attention.
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The risk of recurrence after an attack of acute diverticulitis that has not been surgically treated ranges from 25% to 33%. Recurrences do not respond well to medical treatment, and are more serious. For that reason, surgery is recommended after two attacks of uncomplicated diverticulitis.
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Mild cases of diverticulitis can be treated with changes in diet, rest and antibiotics. But recurring diverticulitis and more serious cases may require surgery to remove the diseased portion of the colon. Read more about diverticulitis treatment options.
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Surgery ... may be required during the hospital stay to treat a particularly severe episode of diverticulitis or other complications. These include continuous bleeding, perforation of an abscess, attachment of two organs by a fistula, or colon obstruction caused by scarring from previous episodes of diverticulitis.
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Bleeding—Though a rare complication of diverticulitis, if bleeding is allowed to worsen it can become deadly. It is believed that bleeding is caused by a blood vessel weakening and bursting. While the bleeding may stop on its own, it can be severe at times. In the case of severe bleeding, you may need surgery to stop it. If you notice blood in your stool or in the toilet, consult your doctor immediately.
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