Academic Journal
The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly
| Title: | The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly |
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| Authors: | 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 |
| Source: | World Journal of Emergency Surgery, Vol 17, Iss 1, Pp 1-16 (2022) |
| Publisher Information: | BMC, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Surgery LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: | Acute diverticulitis, Elderly, Surgery in elderly, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| More Details: | 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. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1749-7922 |
| Relation: | https://doaj.org/toc/1749-7922 |
| DOI: | 10.1186/s13017-022-00408-0 |
| Access URL: | https://doaj.org/article/c5101ae29ed4441b9c805f5d0778b001 |
| Accession Number: | edsdoj.5101ae29ed4441b9c805f5d0778b001 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 17497922 |
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| DOI: | 10.1186/s13017-022-00408-0 |
| Published in: | World Journal of Emergency Surgery |
| Language: | English |