The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left-Sided Colonic Diverticulitis

Short- and long-term outcomes for primary anastomosis versus Hartmann’s procedure in Hinchey III and IV diverticulitis: a multivariate logistic regression analysis of risk factors

“…In the guidelines of the American Society of Colon and Rectal Surgeons, in the German S2k guidelines for diverticular disease as well as in the WSES Guidelines for the management of acute leftsided colonic diverticulitis it is stated that PA with or without ileostomy is considered the alternative to HP in Hinchey III and IV diverticulitis. On the contrary, in EAES/SAGES consensus, PA with ileostomy represents the only alternative mentioned [4,[33][34][35]. In our PA group, the use of a proximal diverting stoma did not influence the outcome, but no solid conclusions can be drawn due to the small sample size.…”

“…As suggested by the guidelines of the American Society of Colon and Rectal Surgeons (2020), "the decision to restore bowel continuity should incorporate patient factors, intraoperative factors, and surgeon preference." [33] However, based on our results and the increasing evidence in the literature, the surgeon's preference should be no longer a main factor affecting the therapeutic approach, and PA with or without ileostomy should be the preferred option in cardiopulmonary stable patients with perforated diverticulitis.…”

The Immediate, Hospital-Level Impact of Stay-at-Home Order on Diverticulitis Burden

“…Diverticulitis is prevalent in the USA, with nearly 300,000 admissions, 1.5 million days of care, and $2 billion in costs annually across acute episodes, recurrences, or complications. 1,2 The COVID-19 pandemic has affected healthcare utilization broadly 3,4 and may have impacted patients with diverticulitis through "stay-at-home" orders or provider availability. To date, the short-term impact of the COVID-19 pandemic across the spectrum of diverticular disease has not been described.…”

¿Por qué hago Resección Sigmoidea y Anastomosis Primaria en Peritonitis Purulenta de Origen Diverticular?

“…Es por ello que las principales guías de práctica clínica recomiendan la realización de la RAP por sobre la OH en estos pacientes. 8,24,25…”

“…En los pacientes clínicamente estables que se presenten con una diverticulitis Hinchey I o II existe consenso que pueden ser tratados eficazmente de manera conservadora. 8 Aquellos con abscesos localizados pueden ser drenados por vía percutánea evitando la cirugía de urgencia en la mayoría de los casos. 9,10 Los pacientes que se presentan con peritonitis generalizada fecal (Hinchey IV) requieren una resección de urgencia.…”