Complicated Sigmoid Diverticulitis (Graphic)
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- Опубліковано 24 вер 2020
- Warning: This video contains actual surgical footage, which may not be suitable for all viewers.
Complicated Sigmoid Diverticulitis presented by Dr. Justin Maykel of UMASS and moderated by Dr. David Rosen of Cleveland Clinic Fairview Campus.
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I just got out of the hospital yesterday with this diagnosis, I was treated with antibiotics and one surgeon suggested I have a drain put in. My abscess was 4cm, but when I went down to surgery; the surgeon that was going to do the surgery , did another CT and decided not to put the drain in, I’m feeling great, haven’t had any pain since the day I was admitted, I give God the glory, he was answering prayer!
Awesome! All glory to God! Jehovah Rapha Exodus 15:26 the God who heals
Thanking God along with you. How are you doing now .
I was diagnosed with diverticulitis in June 2020 which led to 6 day hospital stay. I also was diagnosed with an abscess which I also was given a draining tube. While I was in the hospital, I was given antibiotics and of course, a clear liquid diet. It was a very interesting time. And to add to the stress of being diagnosed with something I had never heard of, I could not have any visitors. It was the middle of pandemic. Fun times! I was discharged with the drainage tube and had several office visits with my doctors as well as another CT scan to see how much the abscess had drained. Even though my doctor spoke of surgery, I was not convinced that I truly needed it. The doctor told me it was totally my choice. By the way, I love my doctor! Nevertheless, I had the resection surgery in November 2020 and prior to that I had a coloscopy that came back normal. Yeah, 5 months later. That hospital stay I was there for 6 days. The first day surgery, I was gotten out of bed to stand by PT. The second day, after seeing the doctor, I sat in the chair the entire day until bedtime. I did not have to have Colostomy bag. After several follow up appointments, I am feeling better than ever. My advice for any one that receive this diagnosis, find a good doctor that listens to you, keep a positive and open mind, start moving as soon as you like you can after surgery. (After surgery, I made sure to take care of myself by bathing myself and going to the bathroom with minimum to no help from the staff). And I have not had any flare ups!
My son is going through this now.
I was released from the hospital yesterday with a drain and antibiotics. However, once my inflammation has subsided I need this surgery. I’m more nervous about having another episode before I can get to my surgery date. What did you do to avoid that and how long before you could return to work?
Ii have had. 3 draining tubes , I don’t think I can go through that again . I Sam scared to death of waking up with a colostomy bag. I also have Parkinsons and was told that the abcess”s made my one srgeon refused to operate on me because of it, I Sam seeing as colin surgeon this week !
PD worse
Did u get ssid
I am having surgery in a couple days. A little nervous about it. I was first diagnosed in 2020 and had a few flare ups since. The last one in April included a hospital stay due to abscess. I hope this helps. Also hope it’s not as painful as the hernia repair surgery i had in February.
Had this surgery done yesterday laying in recovery right now going home tomorrow. Do the research on your surgeon and everything will go smooth. I was very nervous going in to this but it was really a piece of cake. Glad it's over with
Awesome to watch this meeting!! We do need to pray for our doctors!! They are a “tool” in God’s Hands.
God bless you all with!!!
Amen!
People this is no joke. My husband was admitted about two weeks ago after experiencing cramps for a couple weeks prior. He initially thought he pulled a muscle until he started running a fever and pooping blood when we rushed him to the hospital. Long story short he went from diverticolois to diverticulitis to peritonitis within 24 hours and was rushed to emergency surgery because his instine exploded. The next day he started bleeding too much in the tube and his blood count was low they did another CT scan to discover he was bleeding internally. They rushed him back to emergency surgery where they found his wound was bleeding and when they stopped that the doctor noticed that he was also bleeding and having blood clots around his spleen. The doctor examined his spleen and discovered it was cracked which led to a spleendectomy and because he lost so much blood he had 3 blood transfusion. So now he has been cut from his sternum to growing and has tubes and a stoma along with 1 foot of intestine removed.
Wow! How is he now?
Interesting video thank you very much. My case shows that the cause of diverticulosis is absolutely unknown: 40 years old. 185 tall and slim (74 kg) . Vegetarian since my life and consumed a lot of fiber. No alcohol and no nicotine. At 39 I first got severe pain and extreme discomfort on the left side! After 2 years colonoscopy made: Result: Pan-Diverticulosis . By the way, since the first attack at 39 I have permament problems with my intestines.
Thank you Cleveland Clinic. This video was very informative. I'm currently on my 17th day admitted in the hospital here in Boston. I've been here this long because my surgeon and I were making an attempt to not have the ostomy pouch. This is my fourth flair up over 5 years. I'm on Flagyl and Ampicillin. I enjoyed the discussion regarding wait time for surgery to allow the GI area to get a break. My surgeon is recommending that we do the surgery in 6-7 weeks. Thank you again.
I can help u out I'm trying to get the reversal
Who is your surgery doctor? And you are happy with him?
What a great video.Many thanks indeed to all of you
After conservative measures resection of the colon would have been preferable as the area need to be drained and will need the abscess removed to prevent sepsis
Thanks for sharing!!!
Gee, my doc picked option D. All of the above.
I was first given the IR drain, stayed inpatient for IV antibiotics, and fluids.
One month at home with IR drain, then back to hospital for the scheduled laparoscopic Sigmoid colectomy/resection.
At initial CT scan diagnosis, I already had fusion of bladder and colon, and my abscess was described as a very large pus filled one. First course of action was to try to deal with the infection. That might have been the difference for me.
I am still in post ok recovery at home ... week two. Most pain has subsided, just the minor and occasional incision irritation pain.
You could argue that the benefit of one operation and no stoma should overweigh the option of early surgery during her second admission ( in the presence of pelvic abscess) with resection and ending up with a stoma lasting many months may not be acceptable to the patient. However if a contrast study during the first admission had revealed the sigmoid stricture then lap-lavage-resection and reconstruction would have been the best one stage option for the patient.
My mom is 79 and is hospitalized as of 10/11/23 with this and now an abscess. Hers is softball size and they are recommending more antibiotics for 2 more days to see if it will shrink. I'm not comfortable with this due to her having a drainage down her throat to stomach to suck out bowel that is not moving. It's been 11 days, she's not in pain but the tubing thru her nose, throat, and stomach for so many days.. please help make a better decision!
Fascinating- I have diverticulit.but only one flare so far- but currently on back- burner-Why? Because I am also post- RnY, having trouble with that and jejunaul issues- straighten them out and then we shall move on down. See why I feel I'm gastrointestinally handicapped? And FYI I am 75, yet another " can of worms"!
I’ve been living on and off antibiotics along with Targin, Oxyconton for pain for over a year now. Each time I go off antibiotics symptoms such as fever, the sweats which I’m experiencing at this moment and feeling absolute lethargic to the point of being bedridden will ensure. After taking amoxicillin 875mg only will almost immediately these symptoms will disappear. It’s seemingly problematic in a Queensland hospital health system to have any helpful discussion with a surgical team. I’ve had many virtual CT colonoscopy which always shows the same constipation, diverticulitis to the sigmoid and the rest of the bowel. I personally don’t feel surgery and a stoma which is a 80% likely hood is the only option as I have a history of this coming and going like this for years however now it is chronic. I feel a Stoma at 54 is like a death sentence. A friend who with a stoma was just rushed into surgery because of an infection in his bowels, then a complication which required further surgery thereafter. It’s tragic! Big trouble 😥
where exactly is the pain? ULQP means anything. Is it under the left rib or left hip area or is it the the entire left side? whats the chills/sweats? how does that feel?
I had 3 drains ostomy bag waiting for the reversal
where exactly is the pain? ULQP means anything. Is it under the left rib or left hip area or is it the the entire left side? whats the chills/sweats? how does that feel?
My pain was the size of a quarter right on the inside of my pelvic bone on the left side. Of course it does radiate out. And left for too long it will take over the entire abdomen. But, that quarter size spot was undeniably the hot spot for me. It is a dull tooth achy throb to a nearly bending you over double pain.
I refused surgery for about 2 years and then I was begging for it. I had already had a total hysterectomy and my gall bladder removed. During my hysterectomy my surgeon for my resection actually came in and took pics. My uterus, ovaries, colon had so much scar tissue combined with endometriosis and cysts was causing tremendous pain. They took out 18” of colon,and my appendix. No stoma. I recovered very well. Diarrhea is still prevalent but none of that pain and sickness. Best decision for me for surgery. My surgery was in 2013
When I drink psyllium husk, it brings about a diverticulitis attack where the pain is so bad, I have to go to the ER then administered antibiotics. Liquid fiber does not work for me.
I have a stricture/narrowing from my first horrific extreme bout of diverticulitis many years ago. It's only a partial obstruction, but causes me no problems, so why should I have surgery? (I had a failed colonoscopy, that's how I found out I have it.) Not worried that it's cancer because I've had it many years, apparently. Only had one or two mild to moderate flairs since then, and no symptoms of cancer or other intestinal problems. Can't see how surgery would benefit me. (Though surgeon "recommended" it, I guess to fix what's not broken. He thinks it'll eventually become completely blocked, so recommended I have surgery now, before it can. Despite me having it for years already with no problems. Nope.)
Mine went from slight narrowing to almost blocked in less than a year.....get it fixed before it breaks!
It's the first time I have watched this. It is fascinating. I can relate to it as I have been hospitalised twice with this and also have Colitis. I'm improving by taking vitamin D. I have cut out bread and cut down on sugar too. I'm worried about my diet though. I can't tolerate salad and most vegetables which I do love and have to eat a pretty bland diet.
That's me, I cant eat any salads are vegetables. If I do I'm in lots of trouble. Also a low grade fever most every day.
Wow. I’m glad I found this channel for I’ve been diagnosed with complicated diverticulitis with abscess and colitis. They’re doing a second ct on may 20 to rule out any cancers and I’ve been referred for surgery
The diet is extremely hard because I love bread, salad and raw broccoli and carrots
Try 2/3 cup of FiberOne bran cereal every other day for the 1st 30 days, then 3/4 cup everyday. You will be amazed how that fiber acts as a gel and "pulls" food from the nooks of your colon and cleans along the way. Plus, the fiber helps keeps colon cancer away along with many other benefits. My surgeon started me on this after my 3rd bough of DD and I've been great since.
Remove upper drain with no output. Low drain, can kept to do test an DC once drainage is less than 30cc overnight.
Im so scared im have surgery this September 2nd please world pray for me
How did the surgery go? My father is more then likely going to have to have this done
@@DolittleMccoy first few weeks sucked but thank God I'm doin much better is goun to be 2 months November 9th I'm feeling normal sometimes I feel some uncomfort put the dr said it will take about few months for everything to go back to normal I been goin to restroom normal now first few weeks weren't to good but everything will be good I'll keep him in my prayers also I didn't have yo use no bag thank God for that tell him to go for it everything will be so much better those flairups are no joke
@@coqui7778 Thanks for the info.. My father is 75 years old. Hes had flare ups for awhile. He was on blood thinners but started bleeding from his bottom. So thy took him off the thinners... Im actually setting in the hospital with him as we speak. Hopefully he can get the surgery and it will go good... I pray for you to get completely well also...
Praying for you and God will guide the hands of the Doctors where they need to go. God is good and remember he Love you.
How are you doing? My son will be having this done soon.
Hi anyone I know this is an older video but same illness 54 year old male managed diverticulituis for 18 years last 7 weeks since Dec 2023 3 cat scans overnight in hospital with colonoscopy then infection in hospital for 6 days being told to wait out a surgery let it all cool down seems like for sure its a stricture havent went to bathroom in 5 days only cure mucus comes out the unknown is the worry how long can you not go to the bathroom calories are minimal and i feel ok well rested . just wanted to share story from CT Thanks
I'm suffering with this now. Was on Flagl and Cipro. Worst medicines , so sick! Dr stopped the Flagl, I was deathly sick. Still no energy , last day of Cipro makes me feel so crappy. N I don't know what to eat! Every site says something different!
I hate cipro and flagyl. But, that’s what they always gave me.
When you are having an episode- no fiber. You do not want to put any strain inside colon. It can actually rupture. If you are not having an episode,you want to eat a-diet of high fiber
Yes i can’t tolerate those meds. I have been getting Augmentin instead.
I can't take any of those and it's back again
@@cat--- sorry to hear that
I started the carnivore diet and my stomach feels great!
Is that why I'm so tired?....
My dad is in the hospital now with it
All of you have helped me so much.....I have acute diverticulitis.....having recurring flareups....Dr at this point said ct scan and possibly removal of the section......what do you think please? Thank you
P Blessed I’m with you because surgery was referred for mine. I have 2nd ct on 20th to rule out any inflammation before colonoscopy to rule out any cancers. How are you now and what plan did they do
@@sunnyday3117 good luck. Let us know how it went. 🙏
Wondering how it turned out
I know this video is old but I have been diagnosed with this about a year ago…. While working a job that I was constantly moving I only had 1 flare up within 6 months. Now I have a new job less moving and I’ve had about 1 flare up every two months . I love sweets so I’m guessing that’s my problem? The sugar is making it flare up so bad someone please answer. I have an appointment to discuss surgery in September and I really don’t want to wear a poop bag would I have to? I have diverticulitis on a prt of my colon and I have flare ups a lot now
Also a side note I’m 27 years old
@@Luvfeliciameowww Im going through same thing man. Im 35, First yr (2021) had 5 flare ups before i finally got diagnosed. Last yr (2022) did better with only 2 flare ups, the most recent being this past December. At this point im so confused on what to do and worried its going to get worse and end of with surgery. Hard to find any good answers anywhere. Im right there with you pal.
I been dealing with diverticulitis for 4 years, didn't want a surgery, but at this point had no choice, last 2 years was getting episodes around every 3 month's, 4 to 5 times a year...finally getting a sigmoidectomy done, scared don't know how life will be, the after math of it, been reading a lot, vitamin deficiency, dehydration, body not getting the water or fuilds it needs anymore, or getting rid of them how it should....and if I wake up with a colostomy it's rare but need to have in mind it happens...I have look at the pros and cons, I'm just scared I guess. I been postponing it for 4 yrs. Till finally was making my life miserable and decided to get it done...any advice from people that had it done...how it's life ..how you deal with it ..what you heat..it will help an advice from someone that already been trough this
Im in the same boat. Had 5 flare ups the first yr (2021), 2 last yr. The last one being this past December. Worried about it all. Dont know what to eat anymore and just concerned im gonna have to have surgery too. Keep your head up, you're not alone in this.
@@infiniteye2548 had my surgery done January 4, 2023, best decision i ever did, I feel like new...they took a weight of my shoulder, that was poisoning my body makingme miserable at work and home...now I feel great, you can definitely tell the difference.
@@HannahTeddyRusso So glad to hear that! Would love to hear an update from you in the next few months about how things are going. Thanks for the response.
@@HannahTeddyRussohow was the surgery I'm waiting to get mine
I am in the same boat too right now. I am having surgery in December. I am currently having another flare up and on antibiotics again. I am nervous about this surgery but at the same time i am so tired of worrying about this. I don’t want to end up in emergency surgery.
Just had surgery a few weeks ago. Best thing I ever did. I suffered for three years. Hard to get help with everything shutting down with Covid-19. Went for colonoscopy and they discovered my problem. They went in and took a foot of colon out.
Were they able to connect it or did they have to do a stoma? I am looking at resection.
@@ljgaming639 they connected it. No Stoma. The doctor said I didn’t wait till I was in the emergency room in bad shape. I just finished antibiotics but she said I was still badly infected. I feel completely normal again. She said to live life and don’t think about it again. Be sure to follow the recovery instructions and don’t lift anything for 8 weeks.
@@gaselekrauss415 how was your recovery?
@@ljgaming639 it went well. No problems. The pain was gone completely at 8 weeks. It wasn’t bad. Like I said don’t do any lift. Not even from the washer to the dryer. A friend did that and develop bad problems. So just take it easy and it will be worth it.
Did u get ssid
Saying bite the bullet is not a professional quote to say when a patient is in excruciating pain, if I was the patient I would prefer to go straight to the OR for a drainage, I suffer with DV, bloating, gluten free diet, some Drs. don't pay attention to patients when they've had IBS problems and I've had for many years
Hi Doctor, can, you, have diverticulitis on the right side?
Not a doctor (retired RN), but yes, diverticula can form anywhere along the colon. It’s just way more common in Western countries to affect the sigmoid (descending) colon, which would then be generally felt as pain in the left lower abdominal area.
I was just in the ER (yesterday 7/18/21) with unbearable flair-up and infection pain for the 4th time (2 of the times I was hospitalize, 3day stay}. They keep sending home with antibiotics. Should I see someone else?
Yup, get a 2nd opinion. You might have to have surgery to really fix your problem. Good luck 🍀. 😊
@@milesj179 Thanks
@@raised2bless109 , if you're in that much pain, then go ahead & get the surgery. Afterwards, you'll feel 100X's better. I was in your situation last year & almost died from Diverticulitis. I had the surgery on August 20, 2020 & I have a Colostomy bag that I have to wear, but I've been out of pain for a year now. I have plans to have my bag removed & my intestines reconnected in August 2021. The bag is easy to live with, but you won't have any more pain. Check out living with a Colostomy bag on UA-cam. Good luck. 😊
where exactly is the pain? ULQP means anything. Is it under the left rib or left hip area or is it the the entire left side? whats the chills/sweats? how does that feel?
@@wedontlikenoneofyou Left hip, w/chills/sweats and very crampy
Man I had it was the worst
OR. Oh, i misunderstood. I thought she perforated.
34 years old here. Got diverticular throughout my full large bowel. Have flare ups all the time. Very newly diagnosed. When I have flare ups my HR is over 100, goes between 100 and 120. Been back and forth to the doctor with pain, changes in bowel movements etc. Always been told anxiety induced IBS. Awaiting further tests, any ideas what tests to expect?
I had 11 biopsies taken during colonoscopy due to raised lymphoid , awaiting biopsy results
How were your biopsy results?
@@commonsense6967 thankfully normal :)
I had diverticulitis until I quit eating gluten
Thank you
Any day i would choose surgery for my self and bigger scar is acceptable just so colon is connected better.
Every day is like a party at your house.❤
My husband had a diverticulitis flare up about a 2 weeks ago. He was feeling better but is now starting to feel like it is flaring back up again.. is this normal? I know it takes time to heal. But if it is starting back up again could there be more to his diagnosis than diverticulitis?
I have diverticular disease and this happened to me twice where i got better than a month later it flared up again. For me it is now happening more frequently so i am having surgery in December to remove the bad part of my colon.
@jpl8085 wow. He had a colonoscopy and there were no polyps and only gave antibiotics for future flare ups
@@racheln4378 i wish him well. I am mainly doing the surgery cause when i first was diagnosed with this i was only 39. Now i am 43 and cause of my reoccurring flare ups at a younger age the surgeon says it will most likely happen more often as i get older. 😞
All these doctor played with this patients life and stuffed around instead of getting it sorted first time with surgery. How do I know..well I had a abscess and it resulted in sigmoid perforation and soiling with contamination that nearly killed me.
This is exactly how I feel! Surly operation dose not immediately mean you have to be de-boweled !!!
My surgery is Wed. They say never watch these videos, too late, sigmoid colon reception for me, davinci robot, laparoscopic
just had mine today and im watching from my hospital bed, i feel nothing, epidural is a wonderful thing, dont worry
How are you now and did you have to wear a colossal bag
@@sunnyday3117 I am 57, no bag, 4 laparoscopic incisions and a 5 inch open below my belly button
Wow, any update? Do you feel it was worth it? No other reoccurrences of demonticulitus? All the plumbing still work ok? It’s horrible to keep getting it and keep having to go on antibiotics. I’m beat down by it.
@@tm4465 Yes it all seems to work, lol, I am being careful with foods for sure
Have to stop watching this my abdomen has started feeling some tension, I feel sorry for this patient
I went to.the er n they say I got this so now im.scared I can't eat nothing without been scared to go to the hospital again😔 no insurance so what can ido? Help? 😔🙏
I went through a painful episode last week. I have cut out all white flower and milk products. I was lucky it only lasted for 48 hours with the pain. I have previously been diagnosed with IBS, but I'm finding that it's a big guessing game with foods. I have also increased my water intake. Minimum 2 liters a day. I'm drinking keifer in morning. Eating pre soaked and rinsed oatmeal with fruit. I'm eating refrigerated pickles (no vinegar) and I tried kimchi yesterday, was pretty good. Fermented foods. Stay away from sugar. Have you applied for assistance? Or maybe Forward healthcare?
I been struggling with diverticulitis for about 5years now goin to get surgery this September this is no joke stay away from seeds nuts etc. More fruits and vegetables lots of water
CLICKBAIT….NO SURGERY FOOTAGE AT ALL. GRAPHIC????
I had this was drained suggest sedation it really hurts .I had the large abcess drained relief of pain .But left hospital with two small abcesses not drained . Two weeks out watching fiber , stool softeners , metamucil lots of water .
Why simply just not to go with surgery remove diverticulitis and reconnect colon.
Maybe you can't do surgery while it's infected? Or... maybe the rule of thumb is to do least evasive procedure? Or... maybe it was ultimately the patient who decided what needed to be done?
It's not that simple. I had Diverticulitis & had surgery in August of 2020. I had it bad too. I've been wearing a Colostomy bag for 11 months now. It's been almost a year. Next month I can get a reversal & have this bag removed, but I have to have a Colonoscopy first, then the reversal surgery. My Colonoscopy is set for August 3rd 2021 @12:45pm. I can't wait. 😊
@@milesj179 Oh my, that sounds difficult. Does it smell bad? They did mentioned that I may have to have one put in {temporary) if I end up in the ER again.
they remove a small part of the colon where the diverticular is located and then resection.
I would say antibiotics
Hartmann and stoma is the procedure. Americans are always obsessed with medical insurance.