Comparison of NOM for ACLD Between Medical and Surgical Ward
Acute Left Colon Diverticulitis: is it Still a Surgical Disease When Only Medical Treatment is Required? A Retrospective Study Based on Propensity Score Matching
Ospedali Riuniti Trieste
175 participants
Jan 1, 2024
OBSERVATIONAL
Conditions
Summary
In Europe, patients with acute left colon diverticulitis (ALCD) are usually admitted to surgical wards even when only medical treatment is required. The study compares ALCD non-operative management (NOM) between surgical and non-surgical environments regarding clinical outcomes, hospitalization length(LOS), and follow-up.
Eligibility
Inclusion Criteria1
- patients affected by ALCD using a contrast-enhanced CT scan at admission undergoing NOM
Exclusion Criteria1
- immediate indication for surgery (i.e. patients with Hinchey III or IV ALCD or septic patients with Hinchey II)
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Interventions
Non-operative management (NOM) for ALCD consists of lab test monitoring, fluid therapy, antibiotic therapy, abscess drainage if \>4cm, restoring a regular diet
Locations(1)
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NCT06265649