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Diverticular Disease

Outpouchings of the intestinal wall (diverticula) that can become inflamed and cause serious complications. FMT is being studied as a way to prevent diverticulitis recurrence.

Reviewed by:Dr. Zhang Wei·Gastroenterologist, Han's UnitedUpdated:March 12, 2026

What is diverticular disease?

Diverticula are small outpouchings of the colon wall. They can be asymptomatic or lead to inflammation and complications.

Diverticular Disease

Forms of the disease

  • Diverticulosis

    Presence of diverticula without inflammation. Often asymptomatic.

  • Diverticulitis

    Inflammation of one or more diverticula. Requires treatment.

  • Complicated diverticulitis

    Abscess, perforation, bleeding, fistulas. May require surgery.

Symptoms

  • Pain in the lower left abdomen
  • Bloating and discomfort
  • Changes in bowel habits (constipation or diarrhea)
  • In diverticulitis: fever, nausea
  • Occasionally blood in stool

Causes and risk factors

  • Age over 50 (primary factor)
  • Low-fiber diet
  • Sedentary lifestyle
  • Changes in the gut microbiome

Standard treatment

High-fiber diet, antibiotics during flares, sometimes surgery for complications.

In 20–35% of patients, diverticulitis recurs after the first episode. Repeated episodes increase the risk of complications.

The role of the microbiome and FMT

Research shows a link between dysbiosis and diverticulitis. FMT may help prevent recurrent inflammation.

1

Dysbiosis

Disrupted microbiota balance

2

Inflammation

Bacteria penetrate diverticula

3

FMT after treatment

Restoration of healthy flora

4

Prevention

Reduced risk of recurrence

Mechanism of action

Healthy microbiota reduces inflammation in the intestinal wall, strengthens the protective barrier, competes with pathogens, and modulates the local immune response.

Potential benefits

  • Reduced risk of diverticulitis recurrence
  • Relief of chronic symptoms
  • Recovery after antibiotic therapy
  • Potential to avoid surgery

Current state of research

FMT for diverticular disease is a promising field with early but encouraging results.

↓50%

Potential reduction in recurrence (based on pilot studies)

3+

Pilot studies

100+

Patients in studies

Growing researcher interest

Research directions

  • Recurrence prevention: FMT after a diverticulitis episode to prevent further flares
  • Post-antibiotic recovery: Rapid microbiome restoration after a course of treatment
  • Important: Specific Han's United data on diverticular disease is not yet available. Research is ongoing as part of the broader GI disease program. FMT is used as an adjunct to standard therapy
66%reduction in flare frequency

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Patient story

Experience with FMT after recurrent diverticulitis

"Over three years, I had four episodes of diverticulitis. Each time meant antibiotics, pain, and fear of complications. My doctor suggested trying FMT as an adjunct to standard treatment after another course. It has been a year and a half — my bowels are working much better, and flares have become significantly less frequent."
SC

Sun C.

61 years old, Beijing

* Name changed. Results are individual and may vary.

Discuss your treatment options

If diverticulitis keeps recurring, schedule a consultation. A doctor will assess whether FMT could help prevent further flares.

66% reduction in flare frequency
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