IPOD Study: Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments

Antonio Crucitti, Massimo Sartelli, Gian Andrea Binda, Francesco Brandara, Andrea Borasi, Francesco Feroci, Salvatore Vadalà, Francesco M. Labricciosa, Arianna Birindelli, Gianluigi Luridiana, Federico Coccolini, Salomone Di Saverio, Fausto Catena, Luca Ansaloni, Fabio Cesare Campanile, Ferdinando Agresta, Diego Piazza, Gabriele Anania, Emanuele Caproli, Marcello GasparriniPierpaolo Bordoni, Andrea Lucchi, Stefano Scabini, Biagio Picardi, Giuliano Sarro, Alice Piccinini, Natalino Bedin, Alessandro Bussotti, Renato De Angelis, Gian Luca Baiocchi, Antonella Andreotti, Nicola Cillara, Barbara Petronio, Sergio Grimaldi, Alessia Biancafarina, Dario Somenzi, Andrea Costanzi, Alberto Marvaso, Alfonso Canfora, Giorgio Vasquez, Carlo Chiodo, Mario Nano, Angelo Cavicchi, Alberto Ruffato, Paolo Baccari, Roberto Polastri, Patrizia Marsanic, Giuseppe Portale, Luca Gordini, Hariscine K Abongwa, Michela Pili, Luca Turati, Vittoria Nusca, Gianluca Guercioni, Leonardo Andrea Delogu, Umberto Robustelli, Danilo Piras, Fernando Serventi, Daniela Prando, Antonio Brunelli, Bruno Zani, Salvatore Pintaldi, Augusto Verzelli, Silvia Mulas, Gianmaria Confalonieri, Giuditta Spagni, Andrea Sagnotta, Stefania Fiume, Francesco Balestra, Matteo Gatti, Emilio Eugeni, Amedeo Carraro, Michele Genna, Lucio Taglietti, Antonio Azzinnaro, Stefano Ferfoglia, Giuseppe Miranda, Giuseppe Tirone, Pietro Luparello, Stefano Berti, Roberta Tutino, Andrea De Manzoni Garberini, Francesco Roscio, Valeria Maglione, Mauro Podda, Giovanna Ioia, Fabrizio Cantore, Franco Mazzalai, Francesco Cortesi, Giacomo Arcuri, Giovanni Bellanova, Massimo Beltramo, Antonella Chessa, Massimiliano Coppola, Davide Gozzo, Asaf Harbi, Edoardo Minciotti, Francesco Pata, Giovanni Pinna, Mario Testini, Serafino Vanella

Risultato della ricerca: Contributo in rivistaArticolo in rivista

4 Citazioni (Scopus)

Abstract

Background: In recent years, the emergency management of acute left colonic diverticulitis (ALCD) has evolved dramatically despite lack of strong evidence. As a consequence, management strategies are frequently guided by surgeon’s personal preference, rather than by scientific evidence. The primary aim of IPOD study (Italian Prospective Observational Diverticulitis study) is to describe both the diagnostic and treatment profiles of patients with ALCD in the Italian surgical departments. Methods: IPOD study is a prospective observational study performed during a 6-month period (from April 1 2015 to September 1 2015) and including 89 Italian surgical departments. All consecutive patients with suspected clinical diagnosis of ALCD confirmed by imaging and seen by a surgeon were included in the study. The study was promoted by the Italian Society of Hospital Surgeons and the World Society of Emergency Surgery Italian chapter. Results: Eleven hundred and twenty-five patients with a median age of 62 years [interquartile range (IQR), 51–74] were enrolled in the IPOD study. One thousand and fifty-four (93.7%) patients were hospitalized with a median duration of hospitalization of 7 days (IQR 5–10). Eight hundred and twenty-eight patients (73.6%) underwent medical treatment alone, 13 patients had percutaneous drainage (1.2%), and the other 284 (25.2%) patients underwent surgery as first treatment. Among 121 patients having diffuse peritonitis, 71 (58.7%) underwent Hartmann’s resection. However, the Hartmann’s resection was used even in patients with lower stages of ALCD (36/479; 7.5%) where other treatment options could be more adequate. Conclusions: The IPOD study demonstrates that in the Italian surgical departments treatment strategies for ALCD are often guided by the surgeon’s personal preference.
Lingua originaleEnglish
pagine (da-a)851-859
Numero di pagine9
RivistaWorld Journal of Surgery
Volume41
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Aged
  • Anti-Bacterial Agents
  • Colectomy
  • Diverticulitis, Colonic
  • Drainage
  • Female
  • Humans
  • Italy
  • Length of Stay
  • Male
  • Middle Aged
  • Peritonitis
  • Practice Patterns, Physicians'
  • Prospective Studies
  • Surgery Department, Hospital

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