2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting

Massimo Sartelli; Dieter G Weber; Yoram Kluger; Luca Ansaloni; Federico Coccolini; Fikri Abu-Zidan; Goran Augustin; Offir Ben-Ishay; Walter L Biffl; Konstantinos Bouliaris; Rodolfo Catena; Marco Ceresoli; Osvaldo Chiara; Massimo Chiarugi; Raul Coimbra; Francesco Cortese; Yunfeng Cui; Dimitris Damaskos; Gian Luigi De' Angelis; Samir Delibegovic; Zaza Demetrashvili; Belinda De Simone; Francesco Di Marzo; Salomone Di Saverio; Therese M Duane; Mario Paulo Faro; Gustavo P Fraga; George Gkiokas; Carlos Augusto Gomes; Timothy C Hardcastle; Andreas Hecker; Aleksandar Karamarkovic; Jeffry Kashuk; Vladimir Khokha; Andrew W Kirkpatrick; Kenneth Y Y Kok; Kenji Inaba; Arda Isik; Francesco M Labricciosa; Rifat Latifi; Ari Leppäniemi; Andrey Litvin; John E Mazuski; Ronald V Maier; Sanjay Marwah; Michael McFarlane; Ernest E Moore; Frederick A Moore; Ionut Negoi; Leonardo Pagani; Kemal Rasa; Ines Rubio-Perez; Boris Sakakushev; Norio Sato; Gabriele Sganga; Walter Siquini; Antonio Tarasconi; Matti Tolonen; Jan Ulrych; Sannop K Zachariah; Fausto Catena

doi:10.1186/s13017-020-00313-4

2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting

World J Emerg Surg. 2020 May 7;15(1):32. doi: 10.1186/s13017-020-00313-4.

Authors

Massimo Sartelli¹, Dieter G Weber², Yoram Kluger³, Luca Ansaloni⁴, Federico Coccolini⁵, Fikri Abu-Zidan⁶, Goran Augustin⁷, Offir Ben-Ishay³, Walter L Biffl⁸, Konstantinos Bouliaris⁹, Rodolfo Catena¹⁰, Marco Ceresoli^{11

12}, Osvaldo Chiara¹³, Massimo Chiarugi⁵, Raul Coimbra¹⁴, Francesco Cortese¹⁵, Yunfeng Cui¹⁶, Dimitris Damaskos¹⁷, Gian Luigi De' Angelis¹⁸, Samir Delibegovic¹⁹, Zaza Demetrashvili²⁰, Belinda De Simone²¹, Francesco Di Marzo²², Salomone Di Saverio²³, Therese M Duane²⁴, Mario Paulo Faro²⁵, Gustavo P Fraga²⁶, George Gkiokas²⁷, Carlos Augusto Gomes²⁸, Timothy C Hardcastle²⁹, Andreas Hecker³⁰, Aleksandar Karamarkovic³¹, Jeffry Kashuk³², Vladimir Khokha³³, Andrew W Kirkpatrick³⁴, Kenneth Y Y Kok³⁵, Kenji Inaba³⁶, Arda Isik³⁷, Francesco M Labricciosa³⁸, Rifat Latifi³⁹, Ari Leppäniemi⁴⁰, Andrey Litvin⁴¹, John E Mazuski⁴², Ronald V Maier⁴³, Sanjay Marwah⁴⁴, Michael McFarlane⁴⁵, Ernest E Moore⁴⁶, Frederick A Moore⁴⁷, Ionut Negoi⁴⁸, Leonardo Pagani⁴⁹, Kemal Rasa⁵⁰, Ines Rubio-Perez⁵¹, Boris Sakakushev⁵², Norio Sato⁵³, Gabriele Sganga⁵⁴, Walter Siquini⁵⁵, Antonio Tarasconi¹⁰, Matti Tolonen⁴⁰, Jan Ulrych⁵⁶, Sannop K Zachariah⁵⁷, Fausto Catena¹⁰

Affiliations

¹ Department of Surgery, Macerata Hospital, Macerata, Italy. massimosartelli@gmail.com.
² Department of General Surgery, Royal Perth Hospital, The University of Western Australia, Perth, Australia.
³ Department of General Surgery, Division of Surgery, Rambam Health Care Campus, Haifa, Israel.
⁴ General Surgery Department, Bufalini Hospital Hospital, Cesena, Italy.
⁵ General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
⁶ Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
⁷ Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
⁸ Trauma Surgery Department, Scripps Memorial Hospital, La Jolla, CA, USA.
⁹ Surgical Department and ICU Department, General Hospital of Larissa, Larissa, Greece.
¹⁰ Department of Emergency Surgery, Parma Maggiore Hospital, Parma, Italy.
¹¹ Department of General and Emergency Surgery, ASST, San Gerardo Hospital, Monza, Italy.
¹² School of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
¹³ General Surgery and Trauma Team, University of Milano, ASST Niguarda Milano, Milan, Italy.
¹⁴ Riverside University Health System Medical Center, Loma Linda University School of Medicine, Moreno Valley, CA, USA.
¹⁵ Emergency Surgery Unit, San Filippo Neri Hospital, Rome, Italy.
¹⁶ Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
¹⁷ Department of Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
¹⁸ Gastroenterology and Endoscopy Unit, University Hospital of Parma, Parma, Italy.
¹⁹ Department of Surgery, University Clinical Center of Tuzla, Tuzla, Bosnia and Herzegovina.
²⁰ Department General Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia.
²¹ Department of Digestive Surgery, Guastalla Hospital, Reggio Emilia, Italy.
²² General Surgery, Versilia Hospital, UslNordovest, Tuscany, Italy.
²³ Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
²⁴ Envision Healthcare, Dallas, TX, USA.
²⁵ Department of General Surgery, Trauma and Emergency Surgery Division, ABC Medical School, Santo André, SP, Brazil.
²⁶ Trauma/Acute Care Surgery & Surgical Critical Care, University of Campinas, Campinas, Brazil.
²⁷ Second Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
²⁸ Department of Surgery, Hospital Universitário Terezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Juiz de Fora, Brazil.
²⁹ Trauma Service, Inkosi Albert Luthuli Central Hospital and Department of Surgery, Nelson R Mandela School of Clinical Medicine, Durban, South Africa.
³⁰ Department of General and Thoracic Surgery, University Hospital Giessen, Giessen, Germany.
³¹ Clinic for Emergency Surgery, Medical Faculty, University of Belgrade, Belgrade, Serbia.
³² Department of Surgery, Assia Medical Group, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel.
³³ Department of Emergency Surgery, City Hospital, Mozyr, Belarus.
³⁴ General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, AB, Canada.
³⁵ Department of Surgery, The Brunei Cancer Centre, Jerudong Park, Brunei.
³⁶ Division of Acute Care Surgery and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, University of Southern California, Los Angeles, CA, USA.
³⁷ Department of General Surgery, Faculty of Medicine, Erzincan University, Erzincan, Turkey.
³⁸ Global Alliance for Infections in Surgery, Porto, Portugal.
³⁹ Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
⁴⁰ Abdominal Center, University Hospital Meilahti, Helsinki, Finland.
⁴¹ Surgical Disciplines, Immanuel Kant Baltic Federal University/Regional Clinical Hospital, Kaliningrad, Russian Federation.
⁴² Department of Surgery, School of Medicine, Washington University, Saint Louis, USA.
⁴³ Department of Surgery, University of Washington, Seattle, WA, USA.
⁴⁴ Department of Surgery, Post-Graduate Institute of Medical Sciences, Rohtak, India.
⁴⁵ Department of Surgery, Radiology, University Hospital of the West Indies, Kingston, Jamaica.
⁴⁶ Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, CO, USA.
⁴⁷ Department of Surgery, Division of Acute Care Surgery, and Center for Sepsis and Critical Illness Research, University of Florida College of Medicine, Gainesville, FL, USA.
⁴⁸ Department of Surgery, Emergency Hospital of Bucharest, Bucharest, Romania.
⁴⁹ Infectious Diseases Unit, Bolzano Central Hospital, Bolzano, Italy.
⁵⁰ Department of Surgery, Anadolu Medical Center, Kocaali, Turkey.
⁵¹ General Surgery Department, Colorectal Surgery Unit, La Paz University Hospital, Madrid, Spain.
⁵² General Surgery Department, Medical University, University Hospital St George, Plovdiv, Bulgaria.
⁵³ Department of Aeromedical Services for Emergency and Trauma Care, Ehime University Graduate School of Medicine, Ehime, Japan.
⁵⁴ Emergency Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
⁵⁵ Department of Surgery, Macerata Hospital, Macerata, Italy.
⁵⁶ First Department of Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
⁵⁷ Department of Surgery, MOSC Medical College Kolenchery, Cochin, India.

Abstract

Acute colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in the acute setting. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of acute left-sided colonic diverticulitis (ALCD) according to the most recent available literature. The update includes recent changes introduced in the management of ALCD. The new update has been further integrated with advances in acute right-sided colonic diverticulitis (ARCD) that is more common than ALCD in select regions of the world.

Keywords: Abscess; Acute left-sided colonic diverticulitis; Acute right-sided colonic diverticulitis; Peritonitis.

Publication types

Practice Guideline
Review

MeSH terms

Acute Disease
Diverticulitis, Colonic / classification*
Diverticulitis, Colonic / surgery*
Emergency Service, Hospital*
Humans