Bowel Resection with Colostomy – In more severe cases of diverticulitis, so much inflammation may be present that reconnection is not possible. In these instances, the surgeon will connect the colon to an opening in the abdomen (stoma), where waste can pass into a colostomy bag.
Peritonitis. In rare cases, an infected diverticulum (pouch in your colon) can split, spreading the infection into the lining of your abdomen (perforation). An infection of the lining of the abdomen is known as peritonitis. Peritonitis can be life-threatening, and requires immediate treatment with antibiotics.
When you have acute diverticulitis, a perforated colon is not that unusual because diverticulitis causes tiny tears — perforations — in the colon walls. These tears can grow larger and become problematic. Colonic perforation can also be a life-threatening complication of recent colon surgery called anastomotic leakage.
In most cases of surgery for diverticulitis, a colostomy is not required.
In serious cases, diverticulitis can lead to bleeding, tears, or blockages. Your doctor will do a physical exam and imaging tests to diagnose it. Treatment may include antibiotics, pain relievers, and a liquid diet. A serious case may require a hospital stay or surgery.
Having diverticula is called diverticulosis. It's common as you get older, and most people never have any problems with it. But if one of your diverticula becomes inflamed, it can cause acute pain and other symptoms. It might mean that it has an infection, which needs medical attention.
Diverticulitis can progress into a severe, wide-spread infection if left untreated.
Once the portion of the rectum with the cancer is removed, along with the fat and lymph nodes that surround the rectum, the surgeon will reconnect the colon to the top of the anus. This avoids cutting into the sphincter and eliminates the need for a permanent colostomy in most patients.
For most people, diverticulitis won't affect their life span. Many people don't even know they have diverticular disease. Only a small percentage will have symptoms, and an even smaller number will have complications.
Living with diverticular disease
If you have diverticulosis, you may sometimes get flare-ups of diverticulitis. To prevent these, your doctor may suggest you eat more fiber, drink plenty of fluids, and exercise regularly. This should help prevent the pouches from becoming infected or inflamed.
The risk of having colorectal cancer after an episode of acute diverticulitis is 44-fold higher than that of an age- and gender-adjusted reference population.
Symptoms of diverticulitis are more severe and often start suddenly, but they may become worse over a few days. They include: Tenderness, usually in the left lower part of the abdomen.
Diverticulitis is more serious because infection can lead to other problems. Diverticulosis leads to diverticulitis in about 1 out of 5 to 1 out of 7 cases. Researchers think a diet low in fiber is to blame for a high incidence of diverticulosis.
What is diverticulosis? Diverticulosis is a condition that occurs when small pouches, or sacs, form and push outward through weak spots in the wall of your colon. These pouches form mostly in the lower part of your colon, called the sigmoid colon. One pouch is called a diverticulum.
Mild cases of diverticulitis are usually treated with antibiotics and a low-fiber diet, or treatment may start with a period of rest where you eat nothing by mouth, then start with clear liquids and then move to a low-fiber diet until your condition improves. More-severe cases typically require hospitalization.
If you have mild diverticulitis, your doctor may prescribe a course of antibiotics, medications that fight bacterial infections. He or she may also put you on a liquid or low-residue diet, which includes foods that are easy to digest, to decrease bulk and stool in the intestines.
A colostomy may be needed if you cannot pass stools through your anus. This could be the result of an illness, injury or problem with your digestive system. You may have a colostomy to treat: bowel cancer.
This procedure is known as a colostomy and will result in an ostomy bag. This is only done if there is too much damaged colon tissue to retain full use of your bowels. Depending on recovery, the colostomy can be either permanent or temporary.