6533b82efe1ef96bd129330a
RESEARCH PRODUCT
IPOD Study: Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments.
Sartelli Massimo Gian Andrea BindaBrandara FrancescoBorasi AndreaFeroci FrancescoVadalà SalvatoreFrancesco M. LabricciosaBirindelli AriannaLuridiana GianluigiCoccolini Federico Salomone Di SaverioCatena FaustoAnsaloni Luca Fabio Cesare CampanileAgresta FerdinandoPiazzai Diego Pod Study Collaborative Working GroupGabriele AnaniaCaproli EmanueleGasparrini MarcelloBordoni PierpaoloLucchi AndreaScabini StefanoPicardi BiagioSarro GiulianoPiccinini AliceBedin NatalinoBussotti Alessandro Renato De Angelis Gian Luca BaiocchiAndreotti AntonellaCillara NicolaPetronio BarbaraGrimaldi SergioBiancafarina AlessiaSomenzi DarioCostanzi AndreaMarvaso AlbertoCanfora AlfonsoVasquez GiorgioChiodo CarloNano MarioCavicchi AngeloRuffato AlbertoBaccari PaoloPolastri RobertoMarsanic PatriziaPortale GiuseppeGordini LucaK Abongwa HariscinePili MichelaTurati LucaNusca VittoriaGuercioni Gianluca Leonardo Andrea DeloguRobustelli UmbertoPiras DaniloServenti FernandoPrando DanielaBrunelli AntonioZani BrunoPintaldi SalvatoreVerzelli AugustoMulas SilviaConfalonieri GianmariaSpagni GiudittaCrucitti AntonioSagnotta AndreaFiume StefaniaBalestra FrancescoGatti MatteoEugeni EmilioCarraro AmedeoGenna MicheleTaglietti LucioAzzinnaro AntonioFerfoglia StefanoMiranda GiuseppeTirone GiuseppeLuparello PietroBerti StefanoTutino Roberta Andrea De Manzoni GarberiniRoscio FrancescoMaglione ValeriaPodda MauroIoia GiovannaCantore FabrizioMazzalai FrancoCortesi FrancescoArcuri GiacomoBellanova GiovanniBeltramo MassimoChessa AntonellaCoppola MassimilianoGozzo DavideHarbi AsafMinciotti EdoardoPata FrancescoPinna GiovanniTestini MarioVanella Serafinosubject
MalePercutaneousmedicine.medical_treatmentPractice Patterns030230 surgerySurgery DepartmentDiverticulitis Colonic0302 clinical medicineInterquartile rangeMedicineDiseaseProspective StudiesPractice Patterns Physicians'Prospective cohort studyColectomyColectomyPeritoniticlinical trialDiverticulitisMiddle Agedclinical practiceAnti-Bacterial AgentsItalyCardiothoracic surgery030220 oncology & carcinogenesisDrainageFemaleDiverticulitis; Disease; Colonic diverticulosisHumanColonic diverticulosismedicine.medical_specialtyAged; Anti-Bacterial Agents; Diverticulitis Colonic; Drainage; Female; Humans; Italy; Length of Stay; Male; Middle Aged; Peritonitis; Prospective Studies; Surgery Department Hospital; Colectomy; Practice Patterns Physicians'Settore MED/12 - GASTROENTEROLOGIAPeritonitisNO03 medical and health sciencesHospitalColonicAnti-Bacterial AgentHumansDiverticulitisAgedPhysicians'surgery; clinical practice; clinical trialbusiness.industryVascular surgeryLength of Staymedicine.diseaseSurgeryProspective StudieSurgerybusinessSurgery Department HospitalAbdominal surgerydescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-01-01 |