Surgical Italian Guide for the Management of Complicated Acute Diverticulitis Emergency Setting (SIGMA-D). A Prospective Observational Multicenter Study on Behalf of the Italian Society of Colorectal Surgery (SICCR).

Societa Italiana di Chirurgia ColoRettale500 enrolled

Overview

This study will include data collected from surgical units performing emergency surgery in Italy during 2024, with a one-year follow-up period for each patient. Data for each center will be prospectively collected through a database filled out by the Italian Society of Colorectal Surgery (SICCR) members who participate to the study. Specific data will include: WSES diverticulitis classification, procedure timing, laparoscopic/converted procedures, rate of performed protection ileostomies or colostomies, rate and timing of Hartmann reversal or stoma closure, procedures with more than two operators, procedures with expert first operator, night or weekend procedures, and patients aged over 80. Postoperative data will focus on complication rates and mortality at one, six, and twelve months.

Study Type

OBSERVATIONAL

Enrollment

500

Conditions

Acute Diverticulitis Stoma Colostomy Stoma Ileostomy

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 120 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18 yo or older * CT scan and WSES classification * surgical intervention within 48 hours for acute diverticulitis Exclusion Criteria: * underaged * conservative treatment for acute diverticulitis * other treatment * diagnosis of colorectal cancer at histology

Outcomes

Primary Outcomes

adhesion to guidelines

assess whether Italian colorectal surgeons adhere to current guidelines, providing insights into the management of this disease.

Time frame: 1 year follow-up

Secondary Outcomes

stoma reversal

understanding of the management of patients with stomas resulting from Hartmann's procedures or resection with primary anastomosis and protective stomas.