Italian Guidelines.
Diverticular disease (DD) is a widespread condition, however limited evidences are available about its management and complications. In the last years, an Italian Consensus Conference promoted by GRIMAD (Gruppo Italiano Malattia Diverticolare, Italian Group on Diverticular Diseases) and a Guideline, by Italian Society of Colorectal Surgery (SICCR) were published. The aim of the Consensus was to provide clinical recommendation for appropriate definition, diagnosis, and management of DD, in particular 4 areas of interest were identified, namely: (i) definition and epidemiology, (ii) pathophysiology, (iii) diagnosis, and (iv) medical and surgical treatment. A total of 55 statements graded according to different level of evidence and strength of recommendation were approved. However, if we consider the grade of recommendation, their strength remains suboptimal, with only 3 statements with grade of evidence A in the area of diagnosis. The Clinical guidelines by SICCR focus mainly on acute diverticulitis, and surgical treatment of complicated DD. One of the main topic analyzed, is represented by the management of the acute uncomplicated diverticulitis, in particular about the use of antibiotics and need of hospitalization. Despite the presence of many recent European and western country guidelines, there is a lack of robust data on epidemiology, risk factors, and medical and surgical management of DD, calling the need of further studies aimed to obtain an evidence-based approach in this condition.
Departments of *Medical and Surgical Sciences and Traslational Medicine †Internal Medicine and Medical Specialties, University Sapienza, Roma ‡Department of Clinical Medicine and Surgery, Federico II University, Napoli, Italy.
Bruno
B
Annibale
Marilia
M
Carabotti
Rosario
R
Cuomo
D000208:Acute Disease; D003107:Colorectal Surgery / Q000592:standards*; D032921:Consensus; D004238:Diverticulitis; D006801:Humans; D007558:Italy; D017410:Practice Guidelines as Topic