Cristina González (Burgos / ES), Lucia Polanco Perez (Burgos / ES), Nerea Muñoz Plaza (Burgos / ES), Idoia Dominguez Arroyo (Burgos / ES), Luciano Ferrando (Burgos / ES), Michelle C. Otero Rondon (Burgos / ES), Luis Casaval Cornejo (Burgos / ES), David Jorge Tejedor (Burgos / ES), Romina Ferlini (Burgos / ES), Guillermo Cabriada García (Burgos / ES), Raquel León (Burgos / ES), José Felipe Reoyo Pascual (Burgos / ES), Xandra Valero (Burgos / ES), Miguel Ángel Á. Rico (Burgos / ES)
Abstract text (incl. references and figure legends)
INTRODUCTION: Diverticulitis is the inflammation and infection of one or more diverticula. Abdominal CT confirms the diagnosis and enables the classification of the disease according to Hinchey. The present study aimed to determine the management in a single medical center in Spain.
MATERIAL & METHODS: Data for this descriptive retrospective analysis were collected from the electronic medical records of all patients diagnosed with left sided colonic diverticulitis by CT from September 2015 to December 2020.
RESULTS: During the study period, 384 patients with diverticulitis were admitted to our institution, of which 166 fit inclusión criteria (43%). Mean age was 60.5 years old. A total of 60% were men. The main presenting symptom was left abdominal pain. Hinchey classifcation was: IA 47%; IB 29%; II 9%; III 14% and IV 1%. All patients were treated with intravenous antibiotics, but 26% needed an urgent surgery. 50% of them recieved a Hartmann, laparoscopic lavage and drainage was performed in 23% and in 27% a sigmoidectomy with primary anastomosis. Median length of hospital stay was 8 days. Recurrence was present in almost 30% patients.
CONCLUSIONS: Although CT is the established method of choice for acute diverticulitis diagnose, in our centre is performed in less than 50%. Most common Hinchey classification is grade IA. Antibiotics were offered to all patients. Surgery is performed in at least 25% of patients, Hartmann is the most common procedure, followed by primary anastomosis.
REFERENCES:
Sartelli M, 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting. World J Emerg Surg [Internet]. 2020;15(1).
Qaseem A, et al . Diagnosis and management of acute left-sided colonic diverticulitis: A clinical guideline from the American College of Physicians. Ann Intern Med [Internet]. 2022;175(3):399–415
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