A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort Series
<i>Background and objectives</i>: We present initial results from a small cohort series for a hospital protocol related to the emergency hospitalization decision-making process for acute diverticulitis. We performed a retrospective analysis of 53 patients with acute diverticulitis admitt...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-07-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/56/8/371 |
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| author | Paolo Ruscelli Roberto Cirocchi Alessandro Gemini Paolo Bruzzone Michelangelo Campanale Massimiliano Rimini Sergio Santella Gabriele Anaia Luigina Graziosi Annibale Donini |
| author_facet | Paolo Ruscelli Roberto Cirocchi Alessandro Gemini Paolo Bruzzone Michelangelo Campanale Massimiliano Rimini Sergio Santella Gabriele Anaia Luigina Graziosi Annibale Donini |
| author_sort | Paolo Ruscelli |
| collection | DOAJ |
| description | <i>Background and objectives</i>: We present initial results from a small cohort series for a hospital protocol related to the emergency hospitalization decision-making process for acute diverticulitis. We performed a retrospective analysis of 53 patients with acute diverticulitis admitted to the Department of Emergency and Trauma Surgery of the “Azienda Ospedaliero Universiaria-Ospedali Riuniti” in Ancona and to the Department of General and Emergency Surgery of the “Azienda Ospedaliera-Universitaria” in Perugia. <i>Materials and Methods:</i> All patients were evaluated according to hemodynamic status: stable or unstable. Secondly, it was distinguished whether patients were suffering from complicated or uncomplicated forms of diverticulitis. Finally, each patient was assigned to a risk class. In this way, we established a therapeutic/diagnostic process for each group of patients. <i>Results:</i> Non-operative treatment (NonOP) was performed in 16 patients, and it was successful in 69% of cases. This protocol primarily considers the patient’s clinical condition and the severity of the disease. It is based on a multidisciplinary approach, in order to implement the most suitable treatment for each patient. In stable patients with uncomplicated diverticulitis or complicated Hinchey grade 1 or 2 diverticulitis, the management is conservative. In all grade 3 and grade 4 forms, patients should undergo urgent surgery. <i>Conclusions:</i> This protocol, which is based on both anatomical damage and the severity of clinical conditions, aims to standardize the choice of the best diagnostic and therapeutic strategy for the patient in order to reduce mortality and morbidity related to this pathology. |
| first_indexed | 2024-03-12T06:24:02Z |
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| id | doaj.art-7ee9fc4bf8604f8b84dfca09c9138821 |
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| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T06:24:02Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-7ee9fc4bf8604f8b84dfca09c91388212023-09-03T02:01:40ZengMDPI AGMedicina1010-660X2020-07-015637137110.3390/medicina56080371A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort SeriesPaolo Ruscelli0Roberto Cirocchi1Alessandro Gemini2Paolo Bruzzone3Michelangelo Campanale4Massimiliano Rimini5Sergio Santella6Gabriele Anaia7Luigina Graziosi8Annibale Donini9Department of Emergency Surgery, Azienda Ospedaliero Universitaria-Ospedali Riuniti Ancona, 60126 Ancona, ItalyDepartment of Surgery and Biomedical Sciences, University of Perugia, 06121 Perugia, ItalyDepartment of Surgery and Biomedical Sciences, University of Perugia, 06121 Perugia, ItalyDepartment of General and Specialist Surgery “Paride Stefanini”, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Surgery and Biomedical Sciences, University of Perugia, 06121 Perugia, ItalyDepartment of Emergency Surgery, Azienda Ospedaliero Universitaria-Ospedali Riuniti Ancona, 60126 Ancona, ItalyDepartment of Emergency Surgery, Azienda Ospedaliero Universitaria-Ospedali Riuniti Ancona, 60126 Ancona, ItalyDepartment of Morphology, Experimental Medicine and Surgery, Section of Surgery 1, Sant’Anna Hospital, University of Ferrara, 44121 Ferrara, ItalyDepartment of Surgery and Biomedical Sciences, University of Perugia, 06121 Perugia, ItalyDepartment of Surgery and Biomedical Sciences, University of Perugia, 06121 Perugia, Italy<i>Background and objectives</i>: We present initial results from a small cohort series for a hospital protocol related to the emergency hospitalization decision-making process for acute diverticulitis. We performed a retrospective analysis of 53 patients with acute diverticulitis admitted to the Department of Emergency and Trauma Surgery of the “Azienda Ospedaliero Universiaria-Ospedali Riuniti” in Ancona and to the Department of General and Emergency Surgery of the “Azienda Ospedaliera-Universitaria” in Perugia. <i>Materials and Methods:</i> All patients were evaluated according to hemodynamic status: stable or unstable. Secondly, it was distinguished whether patients were suffering from complicated or uncomplicated forms of diverticulitis. Finally, each patient was assigned to a risk class. In this way, we established a therapeutic/diagnostic process for each group of patients. <i>Results:</i> Non-operative treatment (NonOP) was performed in 16 patients, and it was successful in 69% of cases. This protocol primarily considers the patient’s clinical condition and the severity of the disease. It is based on a multidisciplinary approach, in order to implement the most suitable treatment for each patient. In stable patients with uncomplicated diverticulitis or complicated Hinchey grade 1 or 2 diverticulitis, the management is conservative. In all grade 3 and grade 4 forms, patients should undergo urgent surgery. <i>Conclusions:</i> This protocol, which is based on both anatomical damage and the severity of clinical conditions, aims to standardize the choice of the best diagnostic and therapeutic strategy for the patient in order to reduce mortality and morbidity related to this pathology.https://www.mdpi.com/1010-660X/56/8/371acute diverticulitiscomplicated diverticulitisemergency surgerynon-operative treatmentpercutaneous drainageHartmann’s procedure |
| spellingShingle | Paolo Ruscelli Roberto Cirocchi Alessandro Gemini Paolo Bruzzone Michelangelo Campanale Massimiliano Rimini Sergio Santella Gabriele Anaia Luigina Graziosi Annibale Donini A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort Series Medicina acute diverticulitis complicated diverticulitis emergency surgery non-operative treatment percutaneous drainage Hartmann’s procedure |
| title | A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort Series |
| title_full | A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort Series |
| title_fullStr | A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort Series |
| title_full_unstemmed | A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort Series |
| title_short | A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort Series |
| title_sort | hospital protocol for decision making in emergency admission for acute diverticulitis initial results from small cohort series |
| topic | acute diverticulitis complicated diverticulitis emergency surgery non-operative treatment percutaneous drainage Hartmann’s procedure |
| url | https://www.mdpi.com/1010-660X/56/8/371 |
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