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Diverticulitis and now having sigmoid colon resection. Had this?
Digestive Health | Last Active: Jan 27 3:40pm | Replies (86)Comment receiving replies
@gerryp I am working on a detailed diverticulitis guide with a flow chart of complications, data matrix, reference list, glossary, etc. It is not ready for publishing yet but one data point that came up over and over was that about 75% of Free Perforations (open flow of feces into the abdominal cavity) happen on the patient's first episode of diverticulitis. The synopsis is basically that you either have a spot/spots of weakness in the colon that is susceptible to this, or you don't. So if you've had multiple episodes with no Free Perforation, you are less likely to have one. Plus they think the scaring from healing of previous episodes makes it harder to have a Free Perforation. It came from what they reference as: "The Chapman Study" - Transition rates from Phlegmon to Perforation; "First-Episode" paradox data (75%); long-term recurrence of free air. https://pubmed.ncbi.nlm.nih.gov/16192818/ (Complicated diverticulitis: is it time to rethink the rules?)
FYI.
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@bc321 ok. That’s interesting. I read your history in your profile. Sounds like it’s been a long haul. My diverticulitis attack was perforated on my first episode, so I guess I fall into that 75% cohort. I don’t recall having any symptoms of any significance until I was doubled-over in intense pain. My surgery was done on an emergency basis after about 5 days of IV antibiotics - and no improvement. This was in 2004. I have had no other episodes since.