Is it possible to limit the use of CT scanning in acute diverticular disease without compromising outcomes? A preliminary experience.


COD: 01_2015_1023_2188 Categorie: ,

Pierpaolo Caputo, Marco Rovagnati, Pier Luigi Carzaniga.

Ann. Ital. Chir., 2015 86: 51-55

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The aim of our study was to determine whether the use of CT scanning in the assessment of acute diverticulitis can be reduced without a negative effect on outcome. Our series consisted of 93 out of 100 patients with acute diverticulitis admitted to the Emergency Room of our institution in the period from February 2012 to March 2013.The Hinchey classification system was used to stage disease based on findings on ultrasound (US) examination and/or computed tomography (CT) scanning. We compared the patients’ Hinchey stage (HS) on admission and 72 hours later. Types of treatment were defined as emergency or delayed intervention (operative approaches (OA); ultrasound-guided percutaneous drainage (UPD), and surgery. The borderline between conservative and surgical management was identified. In patients with a HS