IPOD Study: Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments

Massimo Sartelli, Gian Andrea Binda, Francesco Brandara, Andrea Borasi, Francesco Feroci, Salvatore Vadalà, Francesco M. Labricciosa, Arianna Birindelli, Gianluigi Luridiana, Federico Coccolini, Salomone Di Saverio, Fausto Catena, Luca Ansaloni, Fabio Cesare Campanile, Ferdinando Agresta, Diego Piazza, Gabriele Anania, Emanuele Caproli, Marcello Gasparrini, Pierpaolo BordoniAndrea Lucchi, Stefano Scabini, Biagio Picardi, Giuliano Sarro, Alice Piccinini, Natalino Bedin, Alessandro Bussotti, Renato de Angelis, Gian Luca Baiocchi, Antonella Andreotti, Nicola Cillara, Barbara Petronio, Sergio Grimaldi, Alessia Biancafarina, Dario Somenzi, Andrea Costanzi, Alberto Marvaso, Alfonso Canfora, Giorgio Vasquez, Carlo Chiodo, Mario Nano, Angelo Cavicchi, Alberto Ruffato, Paolo Baccari, Roberto Polastri, Patrizia Marsanic, Giuseppe Portale, Luca Gordini, Hariscine K. Abongwa, Mauro Podda, IPOD study Collaborative Working Group

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalWorld Journal of Surgery
DOIs
Publication statusPublished - 2016

Fingerprint

Colonic Diverticulitis
Observational Studies
Emergencies
Hospital Societies
Prospective Studies
Therapeutics
Diverticulitis
Peritonitis
Drainage
Hospitalization

ASJC Scopus subject areas

  • Surgery

Cite this

Sartelli, M., Binda, G. A., Brandara, F., Borasi, A., Feroci, F., Vadalà, S., ... IPOD study Collaborative Working Group (2016). IPOD Study: Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments. World Journal of Surgery, 1-9. https://doi.org/10.1007/s00268-016-3800-y

IPOD Study : Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments. / Sartelli, Massimo; Binda, Gian Andrea; Brandara, Francesco; Borasi, Andrea; Feroci, Francesco; Vadalà, Salvatore; Labricciosa, Francesco M.; Birindelli, Arianna; Luridiana, Gianluigi; Coccolini, Federico; Di Saverio, Salomone; Catena, Fausto; Ansaloni, Luca; Campanile, Fabio Cesare; Agresta, Ferdinando; Piazza, Diego; Anania, Gabriele; Caproli, Emanuele; Gasparrini, Marcello; Bordoni, Pierpaolo; Lucchi, Andrea; Scabini, Stefano; Picardi, Biagio; Sarro, Giuliano; Piccinini, Alice; Bedin, Natalino; Bussotti, Alessandro; de Angelis, Renato; Baiocchi, Gian Luca; Andreotti, Antonella; Cillara, Nicola; Petronio, Barbara; Grimaldi, Sergio; Biancafarina, Alessia; Somenzi, Dario; Costanzi, Andrea; Marvaso, Alberto; Canfora, Alfonso; Vasquez, Giorgio; Chiodo, Carlo; Nano, Mario; Cavicchi, Angelo; Ruffato, Alberto; Baccari, Paolo; Polastri, Roberto; Marsanic, Patrizia; Portale, Giuseppe; Gordini, Luca; Abongwa, Hariscine K.; Podda, Mauro; IPOD study Collaborative Working Group.

In: World Journal of Surgery, 2016, p. 1-9.

Research output: Contribution to journalArticle

Sartelli, M, Binda, GA, Brandara, F, Borasi, A, Feroci, F, Vadalà, S, Labricciosa, FM, Birindelli, A, Luridiana, G, Coccolini, F, Di Saverio, S, Catena, F, Ansaloni, L, Campanile, FC, Agresta, F, Piazza, D, Anania, G, Caproli, E, Gasparrini, M, Bordoni, P, Lucchi, A, Scabini, S, Picardi, B, Sarro, G, Piccinini, A, Bedin, N, Bussotti, A, de Angelis, R, Baiocchi, GL, Andreotti, A, Cillara, N, Petronio, B, Grimaldi, S, Biancafarina, A, Somenzi, D, Costanzi, A, Marvaso, A, Canfora, A, Vasquez, G, Chiodo, C, Nano, M, Cavicchi, A, Ruffato, A, Baccari, P, Polastri, R, Marsanic, P, Portale, G, Gordini, L, Abongwa, HK, Podda, M & IPOD study Collaborative Working Group 2016, 'IPOD Study: Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments', World Journal of Surgery, pp. 1-9. https://doi.org/10.1007/s00268-016-3800-y
Sartelli, Massimo ; Binda, Gian Andrea ; Brandara, Francesco ; Borasi, Andrea ; Feroci, Francesco ; Vadalà, Salvatore ; Labricciosa, Francesco M. ; Birindelli, Arianna ; Luridiana, Gianluigi ; Coccolini, Federico ; Di Saverio, Salomone ; Catena, Fausto ; Ansaloni, Luca ; Campanile, Fabio Cesare ; Agresta, Ferdinando ; Piazza, Diego ; Anania, Gabriele ; Caproli, Emanuele ; Gasparrini, Marcello ; Bordoni, Pierpaolo ; Lucchi, Andrea ; Scabini, Stefano ; Picardi, Biagio ; Sarro, Giuliano ; Piccinini, Alice ; Bedin, Natalino ; Bussotti, Alessandro ; de Angelis, Renato ; Baiocchi, Gian Luca ; Andreotti, Antonella ; Cillara, Nicola ; Petronio, Barbara ; Grimaldi, Sergio ; Biancafarina, Alessia ; Somenzi, Dario ; Costanzi, Andrea ; Marvaso, Alberto ; Canfora, Alfonso ; Vasquez, Giorgio ; Chiodo, Carlo ; Nano, Mario ; Cavicchi, Angelo ; Ruffato, Alberto ; Baccari, Paolo ; Polastri, Roberto ; Marsanic, Patrizia ; Portale, Giuseppe ; Gordini, Luca ; Abongwa, Hariscine K. ; Podda, Mauro ; IPOD study Collaborative Working Group. / IPOD Study : Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments. In: World Journal of Surgery. 2016 ; pp. 1-9.
@article{5df5d7ab30704951b8fe24b03daba233,
title = "IPOD Study: Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments",
abstract = "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.",
author = "Massimo Sartelli and Binda, {Gian Andrea} and Francesco Brandara and Andrea Borasi and Francesco Feroci and Salvatore Vadal{\`a} and Labricciosa, {Francesco M.} and Arianna Birindelli and Gianluigi Luridiana and Federico Coccolini and {Di Saverio}, Salomone and Fausto Catena and Luca Ansaloni and Campanile, {Fabio Cesare} and Ferdinando Agresta and Diego Piazza and Gabriele Anania and Emanuele Caproli and Marcello Gasparrini and Pierpaolo Bordoni and Andrea Lucchi and Stefano Scabini and Biagio Picardi and Giuliano Sarro and Alice Piccinini and Natalino Bedin and Alessandro Bussotti and {de Angelis}, Renato and Baiocchi, {Gian Luca} and Antonella Andreotti and Nicola Cillara and Barbara Petronio and Sergio Grimaldi and Alessia Biancafarina and Dario Somenzi and Andrea Costanzi and Alberto Marvaso and Alfonso Canfora and Giorgio Vasquez and Carlo Chiodo and Mario Nano and Angelo Cavicchi and Alberto Ruffato and Paolo Baccari and Roberto Polastri and Patrizia Marsanic and Giuseppe Portale and Luca Gordini and Abongwa, {Hariscine K.} and Mauro Podda and {IPOD study Collaborative Working Group}",
year = "2016",
doi = "10.1007/s00268-016-3800-y",
language = "English",
pages = "1--9",
journal = "World Journal of Surgery",
issn = "0364-2313",
publisher = "Springer New York",

}

TY - JOUR

T1 - IPOD Study

T2 - Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments

AU - Sartelli, Massimo

AU - Binda, Gian Andrea

AU - Brandara, Francesco

AU - Borasi, Andrea

AU - Feroci, Francesco

AU - Vadalà, Salvatore

AU - Labricciosa, Francesco M.

AU - Birindelli, Arianna

AU - Luridiana, Gianluigi

AU - Coccolini, Federico

AU - Di Saverio, Salomone

AU - Catena, Fausto

AU - Ansaloni, Luca

AU - Campanile, Fabio Cesare

AU - Agresta, Ferdinando

AU - Piazza, Diego

AU - Anania, Gabriele

AU - Caproli, Emanuele

AU - Gasparrini, Marcello

AU - Bordoni, Pierpaolo

AU - Lucchi, Andrea

AU - Scabini, Stefano

AU - Picardi, Biagio

AU - Sarro, Giuliano

AU - Piccinini, Alice

AU - Bedin, Natalino

AU - Bussotti, Alessandro

AU - de Angelis, Renato

AU - Baiocchi, Gian Luca

AU - Andreotti, Antonella

AU - Cillara, Nicola

AU - Petronio, Barbara

AU - Grimaldi, Sergio

AU - Biancafarina, Alessia

AU - Somenzi, Dario

AU - Costanzi, Andrea

AU - Marvaso, Alberto

AU - Canfora, Alfonso

AU - Vasquez, Giorgio

AU - Chiodo, Carlo

AU - Nano, Mario

AU - Cavicchi, Angelo

AU - Ruffato, Alberto

AU - Baccari, Paolo

AU - Polastri, Roberto

AU - Marsanic, Patrizia

AU - Portale, Giuseppe

AU - Gordini, Luca

AU - Abongwa, Hariscine K.

AU - Podda, Mauro

AU - IPOD study Collaborative Working Group

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84995421817&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84995421817&partnerID=8YFLogxK

U2 - 10.1007/s00268-016-3800-y

DO - 10.1007/s00268-016-3800-y

M3 - Article

AN - SCOPUS:84995421817

SP - 1

EP - 9

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

ER -