Current management of acute left colon diverticulitis: What have Italian surgeons learned after the IPOD study?
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ORIGINAL ARTICLE
Current management of acute left colon diverticulitis: What have Italian surgeons learned after the IPOD study? Belinda De Simone1 · Elie Chouillard1 · Massimo Sartelli2 · Luca Ansaloni3 · Salomone Di Saverio4 · Osvaldo Chiara5 · Federico Coccolini6 · Pierluigi Marini7 · IPOD Survey Collaborative Group · Fausto Catena8 Received: 16 July 2020 / Accepted: 17 September 2020 © Italian Society of Surgery (SIC) 2020
Abstract The acute left diverticulitis is a common problem encountered by surgeons in the acute setting. Some years ago, the Italian Prospective Observational Diverticulitis (IPOD) study showed several disputes in managing acute left colon diverticulitis in Italian surgical department. The aim of this study is to check the compliance of Italian surgeons with clinical evidence-based guidelines in non-university hospitals. A 21 multiple-choice questions survey was sent to the Italian Society of Hospital Surgeons (ACOI) mailing list members, from the 1st April 2019 to 6th June 2019. One hundred and seventy-four Italian general surgeons (the ACOI collaborative diverticulitis group) joined the project and answered to the survey. The response rate was 7 (174/2500 ACOI members). Despite current international guidelines about the management of acute diverticulitis, several controversies have emerged from the analysis of this survey in the clinical practice of Italian surgeons, resulting from their low compliance with evidence-based recommendations. Keywords Acute diverticulitis · Left colon · Management · Non-operative management · Emergency surgery · Sigmoidectomy · Laparoscopy · Antibiotics
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s13304-020-00891-7) contains supplementary material, which is available to authorized users. 1
Elie Chouillard elie.Chouillard@ght‑yvelinesnord.fr
Département de Chirurgie Viscérale (Bariatrique and Métabolique, Oncologique, et d’Urgence), Centre Hospitalier Poissy/Saint Germain en Laye, Poissy, France
2
Massimo Sartelli [email protected]
Department of General Surgery, Macerata Hospital, Macerata, Italy
3
Luca Ansaloni [email protected]
General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy
4
Department of General Surgery, University of Insubria, University Hospital of Varese, ASST Sette Laghi, Varese, Italy
5
State University of Milan, Acute Care Surgery Niguarda Hospital, Milan, Italy
6
Emergency Surgery Unit and Trauma Center, Cisanello Hospital, Pisa, Italy
7
General Surgery Department, Ospedaliera San Camillo Forlanini, Rome, Italy
8
Emergency and Trauma Surgery Department, University Hospital of Parma, Parma, Italy
* Belinda De Simone [email protected]
Salomone Di Saverio [email protected] Osvaldo Chiara [email protected] Federico Coccolini [email protected] Pierluigi Marini [email protected] Fausto Catena [email protected]
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Vol.:(0123456789)
Abbreviations ALCD Acute l
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