Abstract
Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute left sided colonic diverticulitis in the emergency setting were presented and discussed. This document represents the executive summary of the final guidelines approved by the consensus conference.
Highlights
Acute left sided colonic diverticulosis is common in Western countries, its prevalence is increasing throughout the world, probably because of changes in lifestyle [1]
Classification systems acute left sided colonic diverticulitis (ALCD) ranges in severity from uncomplicated inflammatory diverticulitis to complicated diverticulitis
Based on the surgical findings of abscesses and peritonitis, Hinchey et al classified the severity of acute diverticulitis into four grades: Stage 1 Pericolic abscess Stage 2 Pelvic, intra-abdominal, or retroperitoneal abscess Stage 3 Generalized purulent peritonitis Stage 4 Generalized fecal peritonitis
Summary
Acute left sided colonic diverticulosis is common in Western countries, its prevalence is increasing throughout the world, probably because of changes in lifestyle [1]. The results of this review demonstrates that unless colonoscopy is regarded for screening in individuals aged 50 years and older, routine colonoscopy in the absence of other clinical signs of CRC is not required in patients following an episode of acute uncomplicated diverticulitis.
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