Despite numerous dietary restrictions, individuals who have diverticulosis can still eat spaghetti sauce in moderation. The root of diverticulitis is unknown, therefore there is no specific list of foods to eat in order to ease symptoms. While pizza isnt very high in fiber, it can help lower pressure in the colon and minimize your risk of diverticulitis. The following foods are good sources of fiber: Try to add several servings of higher-fiber foods at each meal. Editor's Note: This article was originally published on January 28, 2022, and was last reviewed on May 19, 2022. Furthermore, try to avoid tomato sauce to minimize any worsening symptoms. Please try again later. When it comes to grains, you may want to completely refrain. If you have diverticulitis, foods to avoid include that are very refined. Beans such as kidney, black, or pinto beans, or chickpeas. A liquid diet might actually be recommended by your healthcare provider. Yes. Diverticula develop when weak spots in the intestinal wall give way under pressure, causing sections to bulge out. Your doctor may prescribe a low-fiber diet if: As your digestive system returns to normal, you usually can slowly add more fiber back into your diet. If you have diverticulitis once, you may experience it again in the future, so prevention is key. We avoid using tertiary references. Canned vegetables will have less fiber than their fresh counterparts. You can remove the pips from tomatoes and eat the flesh, or strain canned tomato mix to remove the pips. Can you eat oatmeal with diverticulitis? But yes, you can eat spaghetti with diverticulitis but in moderation. These pouches may become infected and can be a medical. After several near-death surgeries and a heart attack at 29, I decided to get serious about my health and went from 278lbs to 181lbs in only six months. Academy of Nutrition and Dietetics. Coconut and palm oils are ingredients in store bought whipped cream. Last Updated 05 March, 2023. Instead, increase your intake slowly over a period of two weeks to give your body time to adjust to your new diet. Vegetable skins. However, switching to easier-to-digest foods during a flare may help relieve symptoms. All rights reserved. Can you eat spaghetti with diverticulitis? Message and data rates may apply. Yes, you can eat pizza with diverticulitis. Coffee is a stimulant of the bowel, so if youre having an attack, you may want to avoid it and allow your bowel to rest. Look for foods that have no more than 1-2 grams of fiber in one serving. All rights reserved. Disease of the Colon & Rectum. Flake cereal, mashed potatoes, tofu, waffles, pasta, white bread, rice, eggs, applesauce, bananas, fish, poultry, pancakes, and well-cooked vegetables are all acceptable foods. Any foods that are hard to break down can bring on another attack of diverticulitis by aggravating the intestinal track. Check with your doctor to see if he wants you to start off with low fiber foods, such as eggs, poultry, meat, white bread and dairy products. Fruits and vegetables with seeds, like raspberries or cucumbers. If you have reached this screen, your current device or browser is unable to access the full Edward-Elmhurst Health Web site. Fiber softens and adds bulk to stools, helping them pass more easily through your colon. If it is not something that you would partake of on a regular basis, chances are it will be okay. Its when they become inflamed or infected that it is considered diverticulitis. Mayo Clinic, 2020. When they do rupture, it is called diverticulitis. Once the symptoms ease a bit more, you may be advised to begin an extremely low-fiber diet to further limit bowel movements until the attack is completely gone. Weve got fresh new ideas about how to lead a healthier life! Look for foods that have no more than 1-2 grams of fiber in one serving. Some high-fiber foods you may want to consider adding to your diet include: A listing of many foods and the fiber content can be found here. Doctor may recommend a low fiber diet to help treat certain digestive problems, or before or after surgery. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Although the amount of fiber your doctor recommends for you may be different from the general recommendation, experts typically suggest getting between 20 and 35 grams of fiber every day to keep your bowels regular and to reduce the risk of a diverticulitis attack. Research suggests that eating a high fiber diet can help prevent diverticulitis flares. You need to include lots of fiber in your diet since it helps give bulk to stools and reduces pressure on your digestive system while also lowering the number of wall-to-wall collisions. For example, adding a few mild peppers to your pizza may not worsen your diverticulitis. Research suggests that a diet low in fiber and high in red meat may increase your risk of getting diverticulitis inflammation of one or a few pouches in the wall of your colon. Can you eat hamburger with diverticulitis? Make sure youre eating well most of the time, and reserve that pizza for a special treat. Have you been postponing a colonoscopy? 10 Foods That Help Manage Your Diverticulitis Research shows that people who consume a fiber-rich diet have fewer chronic illnesses. At this point in time, it is safe to consume dairy products, such as cheese and yogurt, with little or no fiber. Yogurt, cottage cheese, and sherbet are all options. How Long Will Cooked Bacon Keep Unrefrigerated? If we combine this information with your protected During a flare up, your physician will more than likely prescribe a clear-liquid diet to avoid creating waste in the intestines. Diverticulitis occurs when the diverticula become blocked with waste. The BRAT Diet incorporates specific foods from each food group, including vegetables, fruits, starches, proteins, and even beverages. Water and clear juices (apple, cranberry, or grape), strained citrus juices, or fruit punch are all acceptable substitutes. National Library of Medicines list There are some vegetables you can eat while your diverticulitis symptoms are healing, as long as your doctor clears you to do so. Some examples of fiber-rich foods are listed in the table below. What You Need to Know About a Full Liquid Diet. FODMAPs are types of carbohydrate. Can I use flour instead of potato starch? Learn more about how much water you should drink here. Dreher ML. (2018). White rice, white bread, and pasta are also acceptable. 9. When adding fiber to your diet, be sure to drink plenty of water to avoid constipation. When pasta is cooked, it expands and can easily become stuck in the diverticula, which are small, pouch-like sacs that form in the lining of the intestine. Eat foods that are easy to swallow and digest, such as soup, bananas, gelatin, pudding, and yogurt. 801 S. Washington Street, Naperville, Illinois 60540, 155 E. Brush Hill Road, Elmhurst, Illinois 60126, Linden Oaks Behavioral Health - Main Inpatient Campus, 852 South West Street, Naperville, Illinois 60540, 2023 Edward-Elmhurst Health. You'll also be less likely to gain weight. Recent research suggests that these foods are not harmful to people with diverticulosis or diverticulitis. You can eat things like rice, yogurt, eggs, bananas, applesauce, or toast due to their high fiber content. If diverticulitis is treated promptly and without complications, it may respond to antibiotics within a few days. Foods you might not expect such as yogurt, ice cream, cereal and even beverages can have added fiber. The preparations you went through to prepare for the procedure are dehydrating, so putting fluids and. However, if you have a flare-up, it's best to avoid fiber until symptoms calm down. Still, everyone is different, so avoid them if they trigger symptoms for you. Can you eat tomato sauce with diverticulitis? Diverticular Disease. Tax ID Number: 36-3513954. This diet also includes applesauce, canned fruit or soft, peeled fruits, well-cooked vegetables, poultry, lean meat, fish, eggs and smooth nut butters. Dietary fiber can reduce the symptoms of diverticular disease and improve bowel function, according to research from 2018. It occurs when small pouches form in your intestine and push outward, like tiny balloons, at weak spots in your colon. You can remove the pips from tomatoes and eat the flesh, or strain canned tomato mix to remove the pips. Diverticulosis describes a condition in which you have small pouches (called diverticula) in the lining of your digestive tract, usually your large intestine or colon. Its always a good idea to consult a medical professional before making large diet changes. Seeds like sunflower, pumpkin, flax, or chia. From offering tips on managing chronic conditions to the latest in health news, Alot Health is a leader in wellness information. Diverticulitis is a painful intestinal swelling that can cause digestive problems that may cause other related health concerns. We are Lindy Health, a team of health professionals who want to help you achieve your dreams. Salad dressings that are highly spiced or flavored, or ones that contain pickles or raw vegetables. They are in the same category as fast food in that they have no fiber and do more to irritate the lining of the stomach creating discomfort. It is not necessary to use tomato puree or sauce. Some people may find that avoiding certain food helps. Most doctors recommend adding more fiber because it can help your gastrointestinal tract to work better. Those who have been diagnosed with diverticulitis may find that their favorite macaroni and cheese dish is off-limits. This helps keep you hydrated and supports your gastrointestinal health. There is no specific recommendation against eating pizza for people who have diverticulitis. If you're not used to getting a lot of fiber, or you're coming off a recent diverticulitis flare-up, it's best to increase your intake of fiber gradually, instead of all at once. Pale or clay-colored stools are not normal. Ezekiel bread is thought to be the healthiest bread you can consume, as it provides you with much more nutrients and fiber than white bread, which can be helpful for this condition. You can learn more about how we ensure our content is accurate and current by reading our. You can increase your fiber intake by eating lots of fiber-rich vegetables, like green peas, broccoli, collard greens, baked potatoes (white and sweet), Brussels sprouts and cauliflower. Following a low FODMAP diet has benefits for some people with irritable bowel syndrome (IBS). 0 Read on to learn about foods to eat and, Not sure what to eat after a colonoscopy? Other vegetables that you should avoidinclude cauliflower, Swiss chard, cabbage, kale, Brussels sprouts, carrots, beets, squash, iceberg lettuce, and zucchini. (2016). The name of the game during a flare up is avoiding fiber at all costs! While most people who have diverticula don't even realize it because they don't have any symptoms, about 20 percent of people with diverticulosis experience a complication, like diverticulitis. Without the fiber intake, pressure builds in the colon wall and after a period of time, the weak points balloon up creating diverticuli. According to the NIDDK, you may have diverticulosis with no symptoms, or it may cause varying degrees of constipation, diarrhea, abdominal pain and bloating. Healthline Media does not provide medical advice, diagnosis, or treatment. Can you eat spaghetti with diverticulitis? Can you eat spaghetti with diverticulitis? Clear, pulp-free juices (such as apple and cranberry juice). Diverticulitis is the flare up or attack of symptoms caused by an attack to the diverticula. Acute attacks characterized by severe pain or infection may necessitate hospitalization. Answer From Katherine Zeratsky, R.D., L.D. When eating pizza with diverticulitis, it is important to choose toppings that minimize your risk of outbreaks. Canned or cooked fruits without skin or seeds. niddk.nih.gov/health-information/digestive-diseases/diverticulosis-diverticulitis, link.springer.com/chapter/10.1007/978-3-319-59180-3_6, gastrojournal.org/article/S0016-5085(17)30006-9/fulltext, ncbi.nlm.nih.gov/pmc/articles/PMC6430566/, jamanetwork.com/journals/jama/fullarticle/2552211, ncbi.nlm.nih.gov/pmc/articles/PMC5095569/, How to Eat (and Recover from) a Low Fiber Diet, A Beginners Guide to the Low FODMAP Diet. After that, you can resume normal eating habits and gradually increase the amount of fiber in your diet. Canned or cooked vegetables such as green beans, carrots and potatoes (without the skin)Eggs, fish and poultry. However, more recent research suggests that these foods are not harmful to people with diverticulosis or diverticular disease. Not necessarily, though you should abstain from alcohol and caffeine if you are suffering from diverticulitis. Rather than breads and pasta, you should reach for refined enriched breads and cereals, such as Cheerios and Rice Krispies. Heres what you should know about diverticulosis and the best food choices to manage it. Diverticulitis flare-ups are still primarily caused by lifestyle factors, such as a high-fat, low-fiber diet prevalent in Western countries. Because a low-fiber diet restricts what you can eat, it can be difficult to meet your nutritional needs. To provide the best experiences, we use technologies like cookies to store and/or access device information. Tobacco causes other health risks so it is in your best interest to quit completely. Your email address will not be published. A study in 2013 found that those with the lowest Vitamin D levels were significantly more likely to develop a diverticulitis flare up. Most vegetables, such as green beans, sweet potatoes, and carrots, Chicken, fish, and other sources of lean protein, Any fried toppings, such as deep-fried shrimp, High-fat dairy products (try low-fat alternatives, like almond milk), Broccoli, cauliflower, Brussels sprouts, and other similar veggies, Onion, garlic, peppers, and other spicy foods, High-fat meats that may worsen your outbreak. 4 Types of Bowel Habits Change You Should Know, Kidney beans, black beans, and most other varieties, High fiber veggies like peas, spinach, squash and potatoes, Watermelon, apricots, grapes, peaches, applesauce and any other high fiber fruits. A FODMAP is a type of carbohydrate that can cause digestive problems. Once symptoms improve, usually after two to four days, you can slowly add fiber back into your diet, limiting your intake to five to 15 grams per day. This disease becomes more common with age, especially in Americans over the age of 60. Today, some doctors have moved away from this advice. Even though doctors may recommend avoiding high fiber foods during a flare, the NIDDK recommends regularly consuming a high fiber diet to reduce the risk of acute diverticulitis. What Ingredients Should I Eat on Pizza When I Have Diverticulitis? For example, for a 2,000-calorie diet, the fiber recommendation is 28 grams per day. (2018). Source: U.S. Department of Agriculture and U.S. Department of Health and Human Services. If you're eating a low-fiber diet, be sure to read food labels. This content does not have an Arabic version. If youre following a clear liquid diet, after your condition improves, your doctor may recommend slowly adding low fiber foods back into your diet, building up to a high fiber diet. But recent studies suggest those foods do not contribute to flare-ups and are fine to eat. You may find that certain types . Talk with a health care professional, such as your doctor or a dietitian, to plan meals with the right amount of fiber for you. Our physicians and other experts will post about issues that matter most to people affected by cancer. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. During the flare up, youll want to avoid as much fiber in your diet as possible as fiber creates waste that can irritate the infection even further. Diverticulitis which only about 5 percent of people with diverticulosis go on to develop most often causes severe abdominal pain. Broth, water, juices without pulp, and plain gelatin are all examples of these. Now that you know what ingredients to add to your pizza, you should have minimal trouble enjoying this meal. ", American Society for Gastrointestinal Endoscopy: "Understanding Diverticulosis", Johns Hopkins Medicine: "Diverticular Disease", UCSF Health: "Diverticular Disease and Diet", National Institute of Diabetes and Digestive and Kidney Diseases: "Eating, Diet, & Nutrition for Diverticular Disease", Harvard Health Publishing: "Rethinking Fiber and Hydration Can Lead to Better Colon Health", Clear juices, like apple, cranberry and grape (with no pulp), Fruit (with the skin, if you can tolerate it). Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Other risk factors for diverticular disease are smoking, not drinking enough water, medications, lack of exercise, obesity, and straining during bowel movements. If you have a complicated condition, we can refer you to one of UPMCs digestive health centers of excellence. These foods could aggravate the stomach potentially, resulting in ulcers or triggering another diverticulitis episode. If you must continue eating this diet for a longer time, consult a registered dietitian to make sure your nutritional needs are being met. Its not clear what causes diverticulitis, but experts believe these factors play a role: Call your doctor immediately if you have the following symptoms of diverticulitis: Occasionally, bacteria develop in those pouches (known as diverticula) and sometimes grow in the wall of the colon that could cause an infection called diverticulitis, which can cause serious symptoms and may lead to infection complications without treatment. This will go away over time. Our physicians and other experts will post about improving mental health and well-being. If you have diverticulitis, talk with your doctor about your food needs and food restrictions. However, when the flare-up and inflammation are back under control, reintroducing fiber-rich vegetables slowly into your diet can help reduce the risk of having a recurrent attack. Please seek medical attention if you are concerned about an attack of diverticulitis. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. information submitted for this request. Clear juices, like apple, cranberry and grape (with no pulp) Gelatin. Last medically reviewed on August 30, 2021. Our website services, content, and products are for informational purposes only. Unfortunately, this situation can be unpredictable and typically varies heavily from person to person. Fried meat, processed meats such as bologna and salami, sausage, bacon, and hot dogs are all good sources of protein. Once symptoms are completely resolved, you can switch to a high fiber diet, making sure to include a variety of vegetables. More-severe cases typically require hospitalization. This allows your bowel to rest and recover. It is sometimes called a restricted-fiber diet. In the past, doctors thought these foods might get stuck in the diverticula and cause an infection. Furthermore, try to avoid tomato sauce to minimize any worsening symptoms. Its safe to eat these types of foods, including tomatoes and strawberries with seeds, Taylor notes. And no special diet has been proved to prevent attacks. The average adult eating a 2,000-calorie diet needs at least 28 grams of fiber each day. Fruits and vegetables with the skin and seeds. This article explains what FODMAPs are and who should avoid them. Dried beans and peas. Find a GI doctor near you. Eat frequent, small meals. Refined white breadDiet details. Seeds like sesame, poppy, chia, sunflower, or pumpkin. Your doctor will help guide you as you gradually add fiber back into your diet following a flare up and discuss treatment options, which could include surgery, to address any concerns related to your diagnosis. It also contains carbs and sugars, which help replenish energy in your body. Once the attack is over and youre feeling better, you can switch back to a high-fiber diet to help avoid future attacks. The diet of diverticulitis patients should consist of fruits, vegetables, white bread, white rice, chicken, fish, and eggs, as well as cooked or canned foods. Therefore, eating unprocessed meat and poultry are safe as they contain zero fiber. Low fiber foods to consider eating if you have symptoms of diverticulitis include: white rice, white bread, or white pasta (but avoid foods that contain gluten if youre intolerant). In addition, stay in communication with your doctor about your condition. Avoid these foods if you have symptoms after eating them: In the past, doctors thought these foods might get stuck in the diverticula and cause an infection. Until you feel better, stick to liquids or a bland diet (plain rice, bananas, dry toast or crackers, applesauce). White rice and pasta have very little dietary fiber and are softer on the digestive system. With this condition, prevention is the best medicine, and that starts with a healthy diet. Four or more slices may have the potential to trigger a diverticulitis outbreak, which can be quite painful and hard to tolerate. Yes, you should be able to eat spaghetti with diverticulitis since it is a low residue diet. But after eating spaghetti or other food, make sure to drink lots of water in order to avoid any potential bowel obstruction. Nutrition A Food List and Diet Plan for People With Diverticulitis Nutrition Disclaimer: Before starting any new diet, please consult a physician. The gastroenterologists at Edward-Elmhurst Health are experts in diagnosing and treating digestive health issues. Eggs, poultry, and fish, as well as tender, ground, and thoroughly cooked beef. Your doctor might discover it during a routine colonoscopy screening. Diverticulosis and diverticulitis. Accessed Nov. 18, 2020. After you have lived on liquids for a couple of days, you can then move to a low fiber eating plan including: Once you are feeling better, you can start to work back into your regular diet. Required fields are marked *. When you have any medical condition such as the ones that affect your intestines, you should be very careful with what you eat. The amount of fiber in a portion of food is listed on the foods Nutrition Facts label. As long as you stick to a low residue diet, then yes, it will be okay for you to eat spaghetti. With a diverticulitis attack, you should avoid solid foods and stick to a clear liquid diet. Any fruits and vegetables that have hard seeds or skin should be avoided if you have diverticulitis. While cheese is fairly low in fiber, it provides the body with healthy fats and protein. Pizza, the favorite dish of so many people across the world, may fall under this heading. Simply put, many of the best pizza toppings should either be taken off your pie or eaten at tiny levels. Our physicians and other experts will post about all things moms and moms-to-be want to know. Diverticulitis. If you're eating a low-fiber diet, be sure to read food labels. After the age of 80, almost everyone has some pouches. You may want to exchange these items for skim milk and low fat yogurt. Diverticulitis is a condition that affects the digestive tract. You should not progress yourself through this diet without your doctors guidance. You should be able to eat this delicious meal when you have diverticulitis. Did Texas Roadhouse change their chicken critters? But recent studies suggest those foods do not contribute to flare-ups and are fine to eat. Alvarez-Gonzalez MA, et al. Eating high-fiber foods and eating less red meat may lower the risk. Can you eat tomato sauce with diverticulitis? Withdiverticulitis, foods to avoid also include those that are spicy, sugary and acidic because they all can somehow worsen the condition. Nutrition Care Manual. When you're born, your intestines are smooth and free of any bulges or pouches. But this does not mean that you should ignore your condition and do whatever you want since that may lead to something serious. A single copy of these materials may be reprinted for noncommercial personal use only. December 2020. Accessed Nov. 18, 2020. The standard Western diet is often high in fat and sugar and low in fiber. In the past, doctors had recommended that people with diverticular disease (diverticulosis or diverticulitis) avoid hard-to-digest foods such as nuts, corn, popcorn, and seeds, for fear that these foods would get stuck in the diverticula and lead to inflammation. At one time, doctors recommended avoiding nuts, popcorn, seeds and even fruits or vegetables with seeds (like tomatoes or strawberries). A lighter or simpler pizza may make it easier to enjoy three slices, though it is a bad idea to eat much more than that. You can eat the flesh of tomatoes without the pips or strain canned tomato mixture to remove the pips. Diet details Your diet starts with only clear liquids for a few days. When youre not having a diverticulitis flare-up, a high fiber diet can reduce the risk of flares and help keep the gut healthy. Can you eat spaghetti and meatballs with diverticulitis? Once your condition improves, your doctor may recommend a high-fiber diet. The UPMC Digestive Disorders Center cares for a wide range of gastrointestinal (GI) conditions and diseases, from diagnosis to treatment. July 30, 2019 This means that two hours after eating, you need to drink at least 8 ounces of water. Flounder, salmon, crappie, or bass? The technical storage or access that is used exclusively for statistical purposes. At room temperature, any foods that are considered liquid or partially liquid are permitted. People with diverticulitis need to follow a diet that is full of fiber, as it can prevent constipation and can lessen diverticulitis flare-ups. Its important to discuss how food may heal or aggravate your condition. If you find that you don't tolerate raw vegetables well, you can make them easier on your digestive tract by cooking them first. When you get the green light, you'll still have to avoid eating raw vegetables, but you'll be able to safely include well-cooked and canned vegetables in your diet as well as other low-fiber foods, like eggs, cheese, yogurt, cooked fruit, poultry and ground meat. Is it OK to eat spaghetti with diverticulitis? Thats thanks to its grains and other healthy ingredients. When youre not in a flare, eating a high-fiber diet can promote gut health and reduce flares. Current time: 03/05/2023 02:45:49 a.m. UTC Make sure you're also drinking enough water. With diverticular disease, we eat to maintain gut health and reduce risk of diverticulitis. And no special diet has been proved to prevent attacks. This includes foods such as: You can find 15 recipe ideas, including low FODMAP meals, for people with diverticulitis here. Food sources of dietary fiber. In the past, people with small pouches (diverticula) in the lining of the colon were told to avoid nuts, seeds and popcorn. However, avoid red meats and pork as they are tougher on the digestive system. Read stories that illustrate our commitment to keeping our community healthy. Only hydration may not always be beneficial. 6 High-fiber foods recommended to prevent diverticulitis include: 5 Beans and legumes Bran, whole wheat bread, and whole grain cereals such as oatmeal Brown rice Fruits such as apples, bananas, and pears Vegetables such as broccoli, carrots, corn, and squash Grain Products Additionally, chicken broth, water, and some calming teas such as chamomile or linden tea can be consumed. (NIDDK), part of the National Institutes of Health. This means that two hours after eating, you need to drink at least 8 ounces of water. Available at www.dietaryguidelines.gov/resources/2020-2025-dietary-guidelines-online-materials/food-sources-select-nutrients/food-0. So are there any concerns if you eat spaghetti with this condition? Butter and margarine, plain cream cheese, gravy, mayonnaise, smooth salad dressings, plain sour cream, vegetable oils, sauces made from allowed ingredients. This includes soup broth without pasta, rice, or vegetables, but it is advised that tomato soup be avoided. This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases It can lead to serious symptoms, including severe abdominal pain, bloody bowel movements, and an inflamed or infected pocket of tissue. Other ingredients that you should consider on your pizza include: Try to focus on eating healthy toppings like these instead of those that may trigger problematic diverticulitis outbreaks. The majority of cases of diverticulitis that are treated promptly improve within two to three days. There are other symptoms too, Normal stools can vary in shades of brown, mostly due to your diet. Those with diverticulitis should avoid spicy foods. Depending on the severity of an acute diverticulitis flare-up, a diet low in fiber or a clear liquid diet may be beneficial to reduce symptoms. Dairy products include whole milk, cream, sour cream, and yogurt with fruit, nuts, or granola added. If you cannot upgrade your browser, you can remain on this site. { } Eggs According to a 2016 study, gut bacteria play a role in diverticular disease. Eating high-fiber foods and eating less red meat may lower the risk. Whether youre on a clear liquid diet or not, its helpful to drink plenty of water every day. Its an infection of the diverticula.
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