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. 2020 Sep:22 Suppl 2:5-28.
doi: 10.1111/codi.15140. Epub 2020 Jul 7.

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

J K Schultz  1 , N Azhar  2   3 , G A Binda  4 , G Barbara  5 , S Biondo  6 , M A Boermeester  7 , A Chabok  8 , E C J Consten  9   10 , S T van Dijk  7 , A Johanssen  1 , W Kruis  11 , D Lambrichts  12 , S Post  13 , F Ris  14 , T A Rockall  15 , A Samuelsson  16   17 , S Di Saverio  18   19 , D Tartaglia  20 , A Thorisson  21   22 , D C Winter  23 , W Bemelman  7 , E Angenete  17   24
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Free article

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

J K Schultz et al. Colorectal Dis. 2020 Sep.
Free article

Abstract

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.

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References

    1. Tonelli F, Di Carlo V, Liscia G, Serventi A. [Diverticular disease of the colon: diagnosis and treatment. Consensus Conference, 5th National Congress of the Italian Society of Academic Surgeons]. Ann Ital Chir 2009; 80: 3-8.
    1. Fozard JB, Armitage NC, Schofield JB, Jones OM, Association of Coloproctology of Great Britain and Ireland. ACPGBI position statement on elective resection for diverticulitis. Colorectal Dis 2011; 13(Suppl 3): 1-11.
    1. Andersen JC, Bundgaard L, Elbrond H et al. Danish national guidelines for treatment of diverticular disease. Dan Med J 2012; 59: C4453.
    1. Andeweg CS, Mulder IM, Felt-Bersma RJ et al. Guidelines of diagnostics and treatment of acute left-sided colonic diverticulitis. Dig Surg 2013; 30: 278-92.
    1. Kruis W, Germer CT, Leifeld L et al. Diverticular disease: guidelines of the German Society for Gastroenterology, Digestive and Metabolic Diseases and the German Society for General and Visceral Surgery. Digestion 2014; 90: 190-207.

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