Diverticulosis

Diverticulosis is a condition in which small bulges (diverticles) form in the wall of the colon. These diverticles usually form in the lower part of the colon. When the diverticles become inflamed, we speak of diverticulitis.

Symptoms

The symptoms below may occur:

  • Abdominal pain, often in the lower left abdomen
  • Changes in bowel movements
  • Bloating and flatulence

Cause

An exact cause for diverticulosis is not known but certain factors may contribute to its development. For example, the risk of diverticulosis increases with age. Low-fiber diet can also cause diverticulosis to develop. Lack of exercise, being overweight and smoking increase your risk of diverticulosis.

Diagnosis

Diverticulosis is often discovered during examinations performed for other reasons. To specifically look for diverticulosis, a (virtual) colonoscopy can be performed.

Colonoscopy
CT examination virtual colonoscopy

Treatment

Treatment of diverticulosis usually focuses on preventing complications and relieving symptoms. A high-fiber diet can help regulate bowel movements and reduce pressure on the bowel wall. Be sure to drink enough, this helps keep stools soft. Regular exercise promotes bowel function and helps prevent constipation.

A healthy lifestyle and regular checkups with your doctor can prevent many complications of diverticulosis. If you develop diverticulitis, you may be given medication to combat the inflammation.

The surgery

If the infection recurs frequently or if complications occur, it may be necessary to surgically remove the colon with diverticulitis. In this case, the Hartmann procedure is often performed. During this operation, the part of the bowel in which the inflammation is located is removed. A temporary stoma is placed.

If there is little or no infection in the abdomen, a new connection can be made between the remaining parts. This procedure can be performed through either keyhole surgery (laparoscopic) or open surgery.

Laparoscopy (keyhole surgery)