TY - JOUR
T1 - The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly
AU - Fugazzola, Paola
AU - Ceresoli, Marco
AU - Coccolini, Federico
AU - Gabrielli, Francesco
AU - Puzziello, Alessandro
AU - Monzani, Fabio
AU - Amato, Bruno
AU - Sganga, Gabriele
AU - Sartelli, Massimo
AU - Menichetti, Francesco
AU - Puglisi, Gabriele Adolfo
AU - Tartaglia, Dario
AU - Carcoforo, Paolo
AU - Avenia, Nicola
AU - Kluger, Yoram
AU - Paolillo, Ciro
AU - Zago, Mauro
AU - Leppäniemi, Ari
AU - Tomasoni, Matteo
AU - Cobianchi, Lorenzo
AU - Dal Mas, Francesca
AU - Improta, Mario
AU - Moore, Ernest E.
AU - Peitzman, Andrew B.
AU - Sugrue, Michael
AU - Agnoletti, Vanni
AU - Fraga, Gustavo P.
AU - Weber, Dieter G.
AU - Damaskos, Dimitrios
AU - Abu-Zidan, Fikri M.
AU - Wani, Imtiaz
AU - Kirkpatrick, Andrew W.
AU - Pikoulis, Manos
AU - Pararas, Nikolaos
AU - Tan, Edward
AU - Broek, Richard Ten
AU - Maier, Ronald V.
AU - Davies, R. Justin
AU - Kashuk, Jeffry
AU - Shelat, Vishal G.
AU - Mefire, Alain Chicom
AU - Augustin, Goran
AU - Magnone, Stefano
AU - Poiasina, Elia
AU - De Simone, Belinda
AU - Chiarugi, Massimo
AU - Biffl, Walt
AU - Baiocchi, Gian Luca
AU - Catena, Fausto
AU - Ansaloni, Luca
N1 - Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Acute left colonic diverticulitis (ALCD) in the elderly presents with unique epidemiological features when compared with younger patients. The clinical presentation is more nuanced in the elderly population, having higher in-hospital and postoperative mortality. Furthermore, geriatric comorbidities are a risk factor for complicated diverticulitis. Finally, elderly patients have a lower risk of recurrent episodes and, in case of recurrence, a lower probability of requiring urgent surgery than younger patients. The aim of the present work is to study age-related factors that may support a unique approach to the diagnosis and treatment of this problem in the elderly when compared with the WSES guidelines for the management of acute left-sided colonic diverticulitis. During the 1° Pisa Workshop of Acute Care & Trauma Surgery held in Pisa (Italy) in September 2019, with the collaboration of the World Society of Emergency Surgery (WSES), the Italian Society of Geriatric Surgery (SICG), the Italian Hospital Surgeons Association (ACOI), the Italian Emergency Surgery and Trauma Association (SICUT), the Academy of Emergency Medicine and Care (AcEMC) and the Italian Society of Surgical Pathophysiology (SIFIPAC), three panel members presented a number of statements developed for each of the four themes regarding the diagnosis and management of ALCD in older patients, formulated according to the GRADE approach, at a Consensus Conference where a panel of experts participated. The statements were subsequently debated, revised, and finally approved by the Consensus Conference attendees. The current paper is a summary report of the definitive guidelines statements on each of the following topics: diagnosis, management, surgical technique and antibiotic therapy.
AB - Acute left colonic diverticulitis (ALCD) in the elderly presents with unique epidemiological features when compared with younger patients. The clinical presentation is more nuanced in the elderly population, having higher in-hospital and postoperative mortality. Furthermore, geriatric comorbidities are a risk factor for complicated diverticulitis. Finally, elderly patients have a lower risk of recurrent episodes and, in case of recurrence, a lower probability of requiring urgent surgery than younger patients. The aim of the present work is to study age-related factors that may support a unique approach to the diagnosis and treatment of this problem in the elderly when compared with the WSES guidelines for the management of acute left-sided colonic diverticulitis. During the 1° Pisa Workshop of Acute Care & Trauma Surgery held in Pisa (Italy) in September 2019, with the collaboration of the World Society of Emergency Surgery (WSES), the Italian Society of Geriatric Surgery (SICG), the Italian Hospital Surgeons Association (ACOI), the Italian Emergency Surgery and Trauma Association (SICUT), the Academy of Emergency Medicine and Care (AcEMC) and the Italian Society of Surgical Pathophysiology (SIFIPAC), three panel members presented a number of statements developed for each of the four themes regarding the diagnosis and management of ALCD in older patients, formulated according to the GRADE approach, at a Consensus Conference where a panel of experts participated. The statements were subsequently debated, revised, and finally approved by the Consensus Conference attendees. The current paper is a summary report of the definitive guidelines statements on each of the following topics: diagnosis, management, surgical technique and antibiotic therapy.
KW - Acute diverticulitis
KW - Elderly
KW - Surgery in elderly
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U2 - 10.1186/s13017-022-00408-0
DO - 10.1186/s13017-022-00408-0
M3 - Review article
C2 - 35063008
AN - SCOPUS:85123382956
SN - 1749-7922
VL - 17
JO - World Journal of Emergency Surgery
JF - World Journal of Emergency Surgery
IS - 1
M1 - 5
ER -