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While a low-fiber diet is generally used for acute diverticulitis, the NIH guidelines recommend a high-fiber diet for patients with diverticulosis (a condition that may lead to diverticulitis). [17] A Mayo Clinic review from 2011 showed that a high-fiber diet can prevent diverticular disease.
Diverticulitis surgery consists of a bowel resection with or without colostomy. Either may be done by the traditional laparotomy or by laparoscopic surgery. [75] The traditional bowel resection is made using an open surgical approach, called colectomy. During a colectomy, the person is placed under general anesthesia. A surgeon performing a ...
Multiple theories have been proposed including genetic susceptibility, diet, intestinal motility, changes in the microbiome, and inflammation. One leading theory suggests that diverticula form in weakened areas of the colon wall that are subjected to increased pressure. [1] The strength of the colon wall is known to decrease with age. [1]
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Treatment for diverticulitis may involve antibiotics to limit bacterial overgrowth, and some may recommend a high-fiber diet after patients have recovered. In more severe cases, though, the affected area of the colon might be surgically removed.
Fecal calprotectin, a marker of colon inflammation, may be elevated. Computed tomography of the abdomen is not routinely necessary, but may show thickening or inflammation in the distal colon (sigmoid colon) with associated diverticulosis. Treatment may consist of antibiotics, aminosalicylates (mesalamine), or prednisone. In rare cases, surgery ...
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