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