When Is Surgery Necessary for Diverticulitis?
Indications for immediate surgery in diverticulitis • Free perforated sigmoid diverticulitis with clinical or radiographic signs of peritonitis • Failure of conservative treatment for complicated diverticulitis progressive signs of infection/sepsis or acute abdomen • Persistent diverticular bleeding uncontrollable by radiological interventions or endoscopy • Signs of infection/sepsis or acute abdomen Indications for elective surgery in diverticulitis • Complicated chronic diverticular disease with formation of a fistula to the urogenital tract or symptomatic colonic stenosis • Erosion of diverticula or contact of inflammation of diverticula with other organs e.g. urinary bladder
