@article{3034162,
    title = "The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and
treatment of acute left colonic diverticulitis in the elderly",
    author = "Fugazzola, Paola and Ceresoli, Marco and Coccolini, Federico and and Gabrielli, Francesco and Puzziello, Alessandro and Monzani, Fabio and and Amato, Bruno and Sganga, Gabriele and Sartelli, Massimo and Menichetti, and Francesco and Puglisi, Gabriele Adolfo and Tartaglia, Dario and and Carcoforo, Paolo and Avenia, Nicola and Kluger, Yoram and Paolillo, Ciro and and Zago, Mauro and Leppaniemi, Ari and Tomasoni, Matteo and Cobianchi, and Lorenzo and Dal Mas, Francesca and Improta, Mario and Moore, Ernest E. and and Peitzman, Andrew B. and Sugrue, Michael and Agnoletti, Vanni and and Fraga, Gustavo P. and Weber, Dieter G. and Damaskos, Dimitrios and and Abu-Zidan, Fikri M. and Wani, Imtiaz and Kirkpatrick, Andrew W. and and Pikoulis, Manos and Pararas, Nikolaos and Tan, Edward and Ten Broek, and Richard and Maier, V, Ronald and Davies, R. Justin and Kashuk, Jeffry and and Shelat, Vishal G. and Mefire, Alain Chicom and Augustin, Goran and and Magnone, Stefano and Poiasina, Elia and De Simone, Belinda and Chiarugi, and Massimo and Biffl, Walt and Baiocchi, Gian Luca and Catena, Fausto and and Ansaloni, Luca",
    journal = "World Journal of Emergency Surgery",
    year = "2022",
    volume = "17",
    number = "1",
    publisher = "BMC",
    issn = "1749-7922",
    doi = "10.1186/s13017-022-00408-0",
    keywords = "Acute diverticulitis; Elderly; Surgery in 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
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
degrees 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."
}