The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly.
Creators: name: Fugazzola, Paola
name: Ceresoli, Marco
name: Coccolini, Federico
name: Gabrielli, Francesco
name: Puzziello, Alessandro
name: Monzani, Fabio
name: Amato, Bruno
name: Sganga, Gabriele
name: Sartelli, Massimo
name: Menichetti, Francesco
name: Puglisi, Gabriele Adolfo
name: Tartaglia, Dario
name: Carcoforo, Paolo
name: Avenia, Nicola
name: Kluger, Yoram
name: Paolillo, Ciro
name: Zago, Mauro
name: Leppäniemi, Ari
name: Tomasoni, Matteo
name: Cobianchi, Lorenzo
name: Dal Mas, Francesca
name: Improta, Mario
name: Moore, Ernest E
name: Peitzman, Andrew B
name: Sugrue, Michael
name: Agnoletti, Vanni
name: Fraga, Gustavo P
name: Weber, Dieter G
name: Damaskos, Dimitrios
name: Abu-Zidan, Fikri M
name: Wani, Imtiaz
name: Kirkpatrick, Andrew W
name: Pikoulis, Manos
name: Pararas, Nikolaos
name: Tan, Edward
name: Broek, Richard Ten
name: Maier, Ronald V
name: Davies, R Justin
name: Kashuk, Jeffry
name: Shelat, Vishal G
name: Mefire, Alain Chicom
name: Augustin, Goran
name: Magnone, Stefano
name: Poiasina, Elia
name: De Simone, Belinda
name: Chiarugi, Massimo
name: Biffl, Walt
name: Baiocchi, Gian Luca
name: Catena, Fausto
name: Ansaloni, Luca
Publisher: name: Apollo - University of Cambridge Repository
Year: 2022
Subjects: Review
Acute diverticulitis
Elderly
Surgery in elderly

description: 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° Pisa Workshop of Acute Care &amp; 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.