The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly
Abstract 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 comor...
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-01-01
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| Series: | World Journal of Emergency Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13017-022-00408-0 |
| _version_ | 1819261480009203712 |
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| author | Paola Fugazzola Marco Ceresoli Federico Coccolini Francesco Gabrielli Alessandro Puzziello Fabio Monzani Bruno Amato Gabriele Sganga Massimo Sartelli Francesco Menichetti Gabriele Adolfo Puglisi Dario Tartaglia Paolo Carcoforo Nicola Avenia Yoram Kluger Ciro Paolillo Mauro Zago Ari Leppäniemi Matteo Tomasoni Lorenzo Cobianchi Francesca Dal Mas Mario Improta Ernest E. Moore Andrew B. Peitzman Michael Sugrue Vanni Agnoletti Gustavo P. Fraga Dieter G. Weber Dimitrios Damaskos Fikri M. Abu-Zidan Imtiaz Wani Andrew W. Kirkpatrick Manos Pikoulis Nikolaos Pararas Edward Tan Richard Ten Broek Ronald V. Maier R. Justin Davies Jeffry Kashuk Vishal G. Shelat Alain Chicom Mefire Goran Augustin Stefano Magnone Elia Poiasina Belinda De Simone Massimo Chiarugi Walt Biffl Gian Luca Baiocchi Fausto Catena Luca Ansaloni |
| author_facet | Paola Fugazzola Marco Ceresoli Federico Coccolini Francesco Gabrielli Alessandro Puzziello Fabio Monzani Bruno Amato Gabriele Sganga Massimo Sartelli Francesco Menichetti Gabriele Adolfo Puglisi Dario Tartaglia Paolo Carcoforo Nicola Avenia Yoram Kluger Ciro Paolillo Mauro Zago Ari Leppäniemi Matteo Tomasoni Lorenzo Cobianchi Francesca Dal Mas Mario Improta Ernest E. Moore Andrew B. Peitzman Michael Sugrue Vanni Agnoletti Gustavo P. Fraga Dieter G. Weber Dimitrios Damaskos Fikri M. Abu-Zidan Imtiaz Wani Andrew W. Kirkpatrick Manos Pikoulis Nikolaos Pararas Edward Tan Richard Ten Broek Ronald V. Maier R. Justin Davies Jeffry Kashuk Vishal G. Shelat Alain Chicom Mefire Goran Augustin Stefano Magnone Elia Poiasina Belinda De Simone Massimo Chiarugi Walt Biffl Gian Luca Baiocchi Fausto Catena Luca Ansaloni |
| author_sort | Paola Fugazzola |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-23T19:42:28Z |
| format | Article |
| id | doaj.art-c5101ae29ed4441b9c805f5d0778b001 |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-12-23T19:42:28Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-c5101ae29ed4441b9c805f5d0778b0012022-12-21T17:33:38ZengBMCWorld Journal of Emergency Surgery1749-79222022-01-0117111610.1186/s13017-022-00408-0The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderlyPaola Fugazzola0Marco Ceresoli1Federico Coccolini2Francesco Gabrielli3Alessandro Puzziello4Fabio Monzani5Bruno Amato6Gabriele Sganga7Massimo Sartelli8Francesco Menichetti9Gabriele Adolfo Puglisi10Dario Tartaglia11Paolo Carcoforo12Nicola Avenia13Yoram Kluger14Ciro Paolillo15Mauro Zago16Ari Leppäniemi17Matteo Tomasoni18Lorenzo Cobianchi19Francesca Dal Mas20Mario Improta21Ernest E. Moore22Andrew B. Peitzman23Michael Sugrue24Vanni Agnoletti25Gustavo P. Fraga26Dieter G. Weber27Dimitrios Damaskos28Fikri M. Abu-Zidan29Imtiaz Wani30Andrew W. Kirkpatrick31Manos Pikoulis32Nikolaos Pararas33Edward Tan34Richard Ten Broek35Ronald V. Maier36R. Justin Davies37Jeffry Kashuk38Vishal G. Shelat39Alain Chicom Mefire40Goran Augustin41Stefano Magnone42Elia Poiasina43Belinda De Simone44Massimo Chiarugi45Walt Biffl46Gian Luca Baiocchi47Fausto Catena48Luca Ansaloni49IRCCS Policlinico San Matteo Foundation, General SurgeryGeneral Surgery Department, School of Medicine and Surgery, Milano-Bicocca UniversityEmergency Surgery Unit, State University of Pisa, Cisanello HospitalGeneral Surgery Department, School of Medicine and Surgery, Milano-Bicocca UniversityDepartment of Surgery and Transplants, AOU San Giovanni di Dio and Ruggi d’Aragona, University of SalernoGeriatrics Unit, Department of Clinical and Experimental Medicine, University of PisaDepartment of Clinical Medicine and Surgery, University of Naples “Federico II”Emergency Surgery and Trauma, Fondazione Policlinico Universitario “A. Gemelli” IRCCSDepartment of Surgery, Macerata HospitalDivision of Infectious Diseases, Department of Clinical and Experimental Medicine, University of PisaEmergency Surgery Unit, State University of Pisa, Cisanello HospitalEmergency Surgery Unit, State University of Pisa, Cisanello HospitalDepartment of Surgery, S. Anna University Hospital and University of FerraraMedical School, General Surgery and Surgical Specialties Unit, S. Maria University Hospital University of PerugiaDivision of General Surgery, Rambam Health Care CampusEmergency Room Brescia Spedali Civili General HospitalDepartment of Robotic and Emergency Surgery, Manzoni Hospital, ASST LeccoAbdominal Center, Helsinki University Hospital and University of HelsinkiIRCCS Policlinico San Matteo Foundation, General SurgeryIRCCS Policlinico San Matteo Foundation, General SurgeryDepartment of Management, Lincoln International Business School, University of LincolnAlma Mater Studiorum UniversityDepartment of Surgery, University of Colorado, Denver Health Medical CenterDepartment of Surgery, University of Pittsburgh School of Medicine, UPMC-PresbyterianDonegal Clinical Research Academy, Emergency Surgery Outcome Project, Letterkenny University HospitalIntensive Care Unit, Bufalini HospitalSurgery Department, Faculdade de Ciências Médicas (FCM), Unicamp CampinasDepartment of General Surgery, Royal Perth HospitalDepartment of Surgery, Royal Infirmary of EdinburghDepartment of Surgery, College of Medicine and Health Sciences, UAE UniversityDepartment of Minimal Access and General Surgery, Government Gousia HospitalGeneral, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre3Rd Department of Surgery, Attiko Hospital, MSc “Global Health-Disaster Medicine”, National and Kapodistrian University of Athens (NKUA)General Surgery, Dr Sulaiman Al Habib/Alfaisal UniversityDepartment of Surgery, Radboud University Medical CentreDepartment of Surgery, Radboud University Medical CentreDepartment of Surgery, University of WashingtonCambridge Colorectal Unit, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation TrustDepartment of Surgery, Assia Medical Group, Tel Aviv University Sackler School of MedicineDepartment of General Surgery, Tan Tock Seng HospitalFaculty of Health Sciences, University of BueaDepartment of Surgery, University Hospital CentreGeneral Surgery I, ASST Papa Giovanni XXIII HospitalGeneral Surgery I, ASST Papa Giovanni XXIII HospitalDepartment of General and Metabolic Surgery, Poissy and Saint Germain en Laye HospitalsEmergency Surgery Unit, State University of Pisa, Cisanello HospitalTrauma Surgery Department, Scripps Memorial HospitalDepartment of General Surgery, ASST Cremona, University of BresciaGeneral and Emergency Surgery Department, Bufalini Hospital, AUSL RomagnaIRCCS Policlinico San Matteo Foundation, General SurgeryAbstract 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.https://doi.org/10.1186/s13017-022-00408-0Acute diverticulitisElderlySurgery in elderly |
| spellingShingle | Paola Fugazzola Marco Ceresoli Federico Coccolini Francesco Gabrielli Alessandro Puzziello Fabio Monzani Bruno Amato Gabriele Sganga Massimo Sartelli Francesco Menichetti Gabriele Adolfo Puglisi Dario Tartaglia Paolo Carcoforo Nicola Avenia Yoram Kluger Ciro Paolillo Mauro Zago Ari Leppäniemi Matteo Tomasoni Lorenzo Cobianchi Francesca Dal Mas Mario Improta Ernest E. Moore Andrew B. Peitzman Michael Sugrue Vanni Agnoletti Gustavo P. Fraga Dieter G. Weber Dimitrios Damaskos Fikri M. Abu-Zidan Imtiaz Wani Andrew W. Kirkpatrick Manos Pikoulis Nikolaos Pararas Edward Tan Richard Ten Broek Ronald V. Maier R. Justin Davies Jeffry Kashuk Vishal G. Shelat Alain Chicom Mefire Goran Augustin Stefano Magnone Elia Poiasina Belinda De Simone Massimo Chiarugi Walt Biffl Gian Luca Baiocchi Fausto Catena Luca Ansaloni The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly World Journal of Emergency Surgery Acute diverticulitis Elderly Surgery in elderly |
| title | The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly |
| title_full | The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly |
| title_fullStr | The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly |
| title_full_unstemmed | The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly |
| title_short | The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly |
| title_sort | wses sicg acoi sicut acemc sifipac guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly |
| topic | Acute diverticulitis Elderly Surgery in elderly |
| url | https://doi.org/10.1186/s13017-022-00408-0 |
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