Patients with recurrent sigmoid diverticulitis opting for colectomy reported significantly better quality of life after one year compared to those choosing observation, alongside a lower 1-year recurrence rate.

• Colectomy was linked to a 1.73-point improvement in quality of life scores (95% CI: 1.02-2.46) compared to observation.
• Recurrence rates were 17% in the colectomy group versus 45% in the observation group; the adjusted odds of recurrence were significantly lower for those who underwent colectomy (aOR 0.16; 95% CI: 0.05-0.48).

These findings suggest that surgical intervention may provide better long-term outcomes for select patients.