Diverticulosis is a bowel-related medical condition that’s surprisingly common — and it becomes even more common as we get older. In fact, the National Institutes of Health reports that the condition affects about 35% of people under 55 and about 60% of those aged 60 and over.
Typically, diverticulosis causes no symptoms. But sometimes, inflammation occurs in the bowel, causing a more serious and painful condition called diverticulitis. Milder forms of diverticulitis can be managed conservatively, but sometimes the best way to eliminate symptoms and prevent further complications is through colon surgery.
Michael Renfrow, MD, FACS, Steven Kanter, MD, FACS, and the team at South Florida Surgical Group offer patient-centered treatment options for diverticulitis, helping each individual get the most effective, most appropriate care based on their needs. If you have diverticulitis, here’s how to tell when surgery might be the best solution.
Diverticulosis happens when tiny “pouches” (or diverticula) form in the wall of the large intestine (or colon). These pouches form where the bowel has developed tiny weak spots, allowing small areas of the bowel wall to push outward.
Most people who have diverticula experience no major symptoms. But if these tiny pouches become inflamed, they cause belly pain and even bleeding. Without medical attention, they can become infected.
In addition to abdominal pain, people with diverticulitis are at an increased risk of serious complications, including:
Researchers estimate that about 5% of people with diverticulosis will go on to develop diverticulitis.
Many people with diverticulitis can be successfully treated with antibiotics and dietary changes. Adding more fiber and cutting back on red meat can improve bowel function, relieving pressure on the weak areas of the bowel wall. If these conservative approaches don’t work, though, your doctor might recommend surgery to prevent serious complications.
Diverticulitis surgery might also be advised if you’ve had multiple infections, especially if those infections have required hospitalization. Having several infections increases the risk of scar formation, which can narrow the bowel tract and increase the risk of dangerous bowel blockages and perforations.
Most diverticulitis surgery uses minimally invasive techniques, like laparoscopy or robot-assisted surgery, for less tissue damage and a faster recovery. Sometimes, other approaches are preferred, depending on the patient’s medical condition, history, and other factors.
Even though many people with diverticulosis never go on to develop serious diverticulitis, it’s still important to have your condition diagnosed early, so your symptoms can be monitored over time. Having regular colonoscopies is the best way to spot diverticula that aren’t causing symptoms. It’s also important to talk to the doctor about any frequent or recurrent belly pain or bloating you might be experiencing.
To learn more about diverticulitis treatment at our Kendall, Miami, Florida practice, call the office at 305-279-9522, or schedule an appointment online.
