Colorectal Surgery

Diverticulitis Specialists Los Angeles

Diverticulitis develops when small pouches in the colon become inflamed or infected, causing abdominal pain, fever, and digestive changes. At Surgery Group LA in Los Angeles and Beverly Hills, Dr. Yosef Nasseri and Dr. Moshe Barnajian provide expert evaluation and management, from medical therapy to advanced minimally invasive colon surgery. Their goal is to relieve symptoms, prevent complications, and restore long-term digestive health.

Schedule a Consultation

What causes Diverticulitis?

Diverticulitis typically begins with the formation of small, pouch-like structures called diverticula in the colon’s walls, a condition known as diverticulosis. These pouches can develop over time due to increased pressure on the colon, often attributed to a low-fiber diet, which can lead to constipation. The strain caused by hard stools during bowel movements may contribute to the formation of diverticula. As these pouches protrude through the weakened areas of the colon wall, they can become susceptible to infection or inflammation, leading to diverticulitis.

What are the risk factors for diverticulitis?

Several factors contribute to the development of diverticulitis. These include:

Age: Risk increases with age.
Diet and fiber intake: A low-fiber diet is a significant risk factor.
Genetics and family history: A family history of diverticulitis can raise your risk.
Smoking and a lack of physical activity may play a role.
Gut microbiota: The balance of bacteria in your gut can influence your risk.

What are the symptoms of diverticulitis?

Some symptoms of Diverticulitis include:

Pain: One of the hallmark symptoms is abdominal pain, typically concentrated in the lower left side.
Changes in bowel habits: You may experience diarrhea or constipation.
Fever and chills: Infections can lead to an elevated body temperature.
Nausea and vomiting: These symptoms may accompany severe cases.
Rectal bleeding: Hematochezia, or rectal bleeding, is a less common symptom.

What are the complications associated with diverticulitis?

Abscess Formation: Diverticulitis can lead to the formation of abscesses, which are pockets of pus that develop within or near inflamed diverticula. Symptoms often include severe abdominal pain and tenderness, accompanied by fever and a general feeling of illness.
Perforation of the Colon: In severe cases of diverticulitis, the inflammation can weaken the wall of the affected colon, resulting in a perforation or hole in the colon wall. Symptoms of colon perforation are characterized by sudden and intense abdominal pain, fever, and signs of peritonitis, which is inflammation of the abdominal lining.
Fistula Formation: Diverticulitis may lead to the development of fistulas, abnormal connections between different parts of the digestive tract or between the digestive tract and other organs, such as the bladder or skin. The symptoms associated with fistulas depend on their location but can include pain, unusual discharge, and changes in bowel or urinary habits.
Obstruction of the Colon: Repeated episodes of diverticulitis can result in the formation of scar tissue, which can narrow the colon and cause blockages or obstructions. Symptoms of colon obstruction may include cramping abdominal pain, bloating, constipation, and the inability to pass gas.

Diagnosis & Screening

How is Diverticulitis diagnosed?

Timely diagnosis is crucial for effective treatment. Medical tests and screenings to diagnose diverticulitis include:

Medical history and physical examination: Your doctor will assess your symptoms.
Blood tests: These can detect signs of infection and inflammation.
Imaging tests: CT scans and ultrasounds help visualize the affected areas.
Colonoscopy and sigmoidoscopy: These procedures allow for a closer look at the colon.

Treatment

How are Anal Fissure Treated?

Dr. Nasseri and Dr. Barnajian use a combination of lifestyle modification and medications to treat anal fissures. They include:

How is Diverticulitis treated?

Treatment approaches vary based on the severity of the condition. Mild diverticulitis infection may be treated with:

Stool softeners
A liquid diet
Antibiotics to fight the inflammation and possibly antispasmodic drugs.

If you have had a perforation or develop a more severe infection, you will probably be hospitalized and treated by:

Intravenous antibiotics.
Draining infected abscesses and giving the intestinal tract a rest by performing a temporary colostomy

What surgical interventions are used to treat diverticulitis?

While many cases of diverticulitis can be effectively managed with lifestyle changes and medications, some individuals may require surgical interventions, especially in severe or recurrent cases. All complex procedures for diverticulitis are performed robotically at SGLA by Dr. Yosef Nasseri and Dr. Moshe Barnajian.

Robotic Sigmoidectomy
‍Also known as a bowel resection, this surgery involves the removal of the affected portion of the colon (usually the sigmoid colon). This procedure is typically recommended for individuals with severe diverticulitis, complications like abscesses or perforations, or frequent recurrences. The surgeon removes the affected section of the colon and then reconnects the healthy ends. Dr. Nasseri and Dr. Barnajian perform this through minimally invasive robotic surgery. Resection surgery can provide long-term relief, reduce the risk of future diverticulitis episodes, and prevent complications.
Robotic Sigmoidectomy with Fistual Repair
‍At Surgery Group of LA, we are proud to offer state-of-the-art surgical solutions, including Robotic Sigmoidectomy with Fistula Repair, to provide our patients with the highest level of care. This innovative approach combines the precision of robotic-assisted surgery with the expertise of our skilled surgeons, Dr. Nasseri and Dr. Barnajian. Robotic Sigmoidectomy is a minimally invasive procedure designed to address issues in the sigmoid colon while simultaneously repairing fistulas—an abnormal connection between organs. This advanced technique minimizes surgical invasiveness, reduces recovery times, and enhances patient outcomes.

Prevention

How can I prevent diverticulitis?

Preventing diverticulitis involves a multi-faceted approach:

Dietary modifications: Increase your fiber intake to reduce the risk.
Hydration: Proper water intake supports digestive health.
Physical activity: Regular exercise promotes colon health.
Smoking cessation: Quitting smoking can reduce your risk.
Regular medical check-ups: Stay proactive in monitoring your health.

At Surgery Group LA, we know how painful and uncomfortable diverticulitis can be. Combining state-of-the-art medical facilities with compassionate, patient-centered care, we work hard to determine effective treatment for every patient so that they find relief. Call us today to schedule an appointment with a colorectal surgeon in Los Angeles.

Anal Fissures

Frequently Asked Questions

Is there a link between anal fissures and dietary habits?

Yes, diets low in fiber can lead to constipation and the passage of hard stools, which increases the risk of developing anal fissures. Incorporating fiber-rich foods and staying hydrated can help prevent fissures by promoting regular and soft bowel movements.

Can chronic anal fissures lead to other complications?

Chronic anal fissures can result in the formation of skin tags or sentinel piles, and may lead to the development of anal fistulas if left untreated. Persistent fissures can also cause significant discomfort and impact the quality of life.

What non-surgical treatments are available for chronic anal fissures?

Non-surgical options include topical nitroglycerin or calcium channel blockers to relax the anal sphincter, botulinum toxin injections to reduce muscle spasms, and sitz baths to alleviate discomfort. These treatments aim to promote healing and reduce symptoms.

How does pregnancy affect the risk of developing anal fissures?

Pregnancy, especially during childbirth, can increase the risk of anal fissures due to increased pressure and potential trauma to the anal region. Hormonal changes can also affect bowel habits, contributing to the risk.

Schedule a consultation with a Diverticulitis Doctor Near Me

Seeking care from Diverticulitis specialists is essential for effective management. Our dedicated team of doctors is experienced in Diverticulitis treatment, ensuring that you receive expert care tailored to your condition. We're here to answer your questions and guide you on your journey to better health.

310-861-7493

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.