European Society of Coloproctology: guidelines for the management of diverticular disease of the colon

被引：148

作者：

Schultz, J. K. ^{[1
,3
]}

Azhar, N. ^{[2
]}

Binda, G. A. ^{[4
]}

Barbara, G. ^{[5
]}

Biondo, S. ^{[6
,7
]}

Boermester, M. A. ^{[8
]}

Chabok, A. ^{[9
]}

Consten, E. C. J. ^{[10
,11
]}

van Dijk, S. T. ^{[8
]}

Johanssen, A. ^{[1
]}

Kruis, W. ^{[12
]}

Lambrichts, D. ^{[13
]}

Post, S. ^{[14
]}

Ris, F. ^{[15
,16
]}

Rockall, T. A. ^{[17
]}

Samuelsson, A. ^{[18
,19
]}

Di Saverio, S. ^{[20
,21
]}

Tartaglia, D. ^{[22
]}

Thorisson, A. ^{[23
,24
]}

Winter, D. C. ^{[25
]}

Bemelman, W. ^{[8
]}

Angenete, E. ^{[19
,26
]}

机构：

[1] Akershus Univ Hosp, Dept Gastrointestinal Surg, Lorenskog, Norway

[2] Skane Univ Hosp Malmo, Dept Surg, Colorectal Unit, Malmo, Sweden

[3] Lund Univ, Dept Clin Sci, Malmo, Sweden

[4] BioMed Inst, Colorectal Surg, Genoa, Italy

[5] Univ Bologna, Dept Med & Surg Sci, Bologna, Italy

[6] Univ Barcelona, Bellvitge Univ Hosp, Dept Gen & Digest Surg, Colorectal Unit, Barcelona, Spain

[7] IDIBELL, Barcelona, Spain

[8] Univ Amsterdam, Amsterdam Gastroenterol & Metab, Dept Surg, Amsterdam UMC,Locat AMC, Amsterdam, Netherlands

[9] Uppsala Univ, Vastmanlands Hosp Vasteras, Ctr Clin Res, Colorectal Unit,Dept Surg, Vasteras, Sweden

[10] Meander Med Ctr, Dept Surg, Amersfoort, Netherlands

[11] Univ Med Ctr Groningen, Dept Surg, Groningen, Netherlands

[12] Univ Cologne, Fac Med, Cologne, Germany

[13] Erasmus Univ, Med Ctr, Dept Surg, Rotterdam, Netherlands

[14] Heidelberg Univ, Mannheim Fac Med, Mannheim, Germany

[15] Geneva Univ Hosp, Div Visceral Surg, Geneva, Switzerland

[16] Med Sch, Geneva, Switzerland

[17] Royal Surrey Cty Hosp NHS Trust, Minimal Access Therapy Training Unit Mattu, Guildford, Surrey, England

[18] NU Hosp Grp, Dept Surg, Trollhattan, Region Vastra G, Sweden

[19] Univ Gothenburg, Sahlgrenska Acad, SSORG Scandinavian Surg Outcomes Res Grp, Dept Surg,Inst Clin Sci, Gothenburg, Sweden

[20] Cambridge Univ Hosp NHS Fdn Trust, Addenbrookes Hosp, Cambridge Colorectal Unit, Cambridge, England

[21] Univ Insubria, Univ Hosp Varese, ASST Sette Laghi, Dept Gen Surg, Varese, Italy

[22] Univ Pisa, New Santa Chiara Hosp, Emergency Surg Unit, Pisa, Italy

[23] Vastmanlands Hosp Vasteras, Dept Radiol, Vasteras, Sweden

[24] Uppsala Univ, Vastmanlands Hosp Vasteras, Ctr Clin Res, Vasteras, Sweden

[25] St Vincents Univ Hosp, Dublin, Ireland

[26] Sahlgrens Univ Hosp, Dept Surg, Gothenburg, Region Vastra G, Sweden

来源：

COLORECTAL DISEASE | 2020年 / 22卷

关键词：

INFERIOR MESENTERIC-ARTERY; RANDOMIZED-CLINICAL-TRIAL; SUPERIOR RECTAL ARTERY; ACUTE PERFORATED DIVERTICULITIS; LAPAROSCOPIC SIGMOID RESECTION; COLORECTAL ANASTOMOTIC LEAKAGE; MODIFIED NEFF CLASSIFICATION; COLOVESICAL FISTULA; UNCOMPLICATED DIVERTICULITIS; COMPUTED-TOMOGRAPHY;

D O I：

10.1111/codi.15140

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Aim The goal of this European Society of Coloproctology (ESCP) guideline project is to give an overview of the existing evidence on the management of diverticular disease, primarily as a guidance to surgeons. Methods The guideline was developed during several working phases including three voting rounds and one consensus meeting. The two project leads (JKS and EA) appointed by the ESCP guideline committee together with one member of the guideline committee (WB) agreed on the methodology, decided on six themes for working groups (WGs) and drafted a list of research questions. Senior WG members, mostly colorectal surgeons within the ESCP, were invited based on publication records and geographical aspects. Other specialties were included in the WGs where relevant. In addition, one trainee or PhD fellow was invited in each WG. All six WGs revised the research questions if necessary, did a literature search, created evidence tables where feasible, and drafted supporting text to each research question and statement. The text and statement proposals from each WG were arranged as one document by the first and last authors before online voting by all authors in two rounds. For the second voting ESCP national representatives were also invited. More than 90% agreement was considered a consensus. The final phrasing of the statements with < 90% agreement was discussed in a consensus meeting at the ESCP annual meeting in Vienna in September 2019. Thereafter, the first and the last author drafted the final text of the guideline and circulated it for final approval and for a third and final online voting of rephrased statements. Results This guideline contains 38 evidence based consensus statements on the management of diverticular disease. Conclusion This international, multidisciplinary guideline provides an up to date summary of the current knowledge of the management of diverticular disease as a guidance for clinicians and patients.

引用

页码：5 / 28

页数：24

共 223 条

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