Current management of acute left colon diverticulitis: What have Italian surgeons learned after the IPOD study?
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.
['De Simone|Belinda|B|http://orcid.org/0000-0002-7956-3097', 'Chouillard|Elie|E|', 'Sartelli|Massimo|M|', 'Ansaloni|Luca|L|', 'Di Saverio|Salomone|S|', 'Chiara|Osvaldo|O|', 'Coccolini|Federico|F|', 'Marini|Pierluigi|P|', '|||', 'Catena|Fausto|F|']
D000006:Abdomen, Acute D000208:Acute Disease D000900:Anti-Bacterial Agents D003187:Compliance D003657:Decision Making D013505:Digestive System Surgical Procedures D004239:Diverticulitis, Colonic D004632:Emergency Medical Services D055317:Evidence-Based Practice D006801:Humans D007558:Italy D010535:Laparoscopy D066231:Surgeons D011795:Surveys and Questionnaires
Management Left colon Acute diverticulitis Antibiotics Emergency surgery Laparoscopy Non-operative management Sigmoidectomy