Therapy

Diverticulitis

Diverticula and possible complications are diagnosed using different imaging methods:

X-ray: An enema with a radiocontrast agent and subsequent x-raying of the intestine make diverticula visible and help to detect possible stenoses (constrictions) and fistulas (ducts between neighbouring organs).

Coloscopy: A coloscopy should only be performed in inflammation-free intervals to prevent the risk of injury to the intestine. Besides verifying diverticula and their expansion, a coloscopy serves to exclude malignant diseases of the colon.

Computer tomography (CT): CT is the method of choice for securing the diagnosis of acute diverticulitis as well as detecting possible complications.

If a special diet, medication or pain therapy were not successful, surgery may be indicated. A visceral surgeon will remove the afflicted area – diverticula - of the intestine (in most cases the sigma). Ideally, this surgery is performed during an inflammation-free interval of the disease (diverticulitis). Being a specialized hospital for minimally invasive surgery (keyhole surgery, laparoscopy) these operations are performed using laparoscopic surgery.

Advantages of minimally invasive colon surgery in comparison to conventional open surgery:

  • Timely intkae of solids after surgery
  • Less pain due to absence of large abdominal incision
  • Fewer complications such as infections or rupturing of the abdominal wall
  • Shorter hospital stay
  • Faster return to everyday life




1 Liver
2 Stomach
3 Transverse colon
4 Small intestine
5
Ascending colon
6
Rectum
7
Anus
X

Sigma (Colon sigmoideum)