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dc.contributor.authorCirocchi, Roberto
dc.contributor.authorNascimbeni, Riccardo
dc.contributor.authorBurini, Gloria
dc.contributor.authorBoselli, Carlo
dc.contributor.authorBarberini, Francesco
dc.contributor.authorDavies, Justin
dc.contributor.authorDi Saverio, Salomone
dc.contributor.authorCassini, Diletta
dc.contributor.authorAmato, Bruno
dc.contributor.authorBinda, Gian Andrea
dc.contributor.authorBassotti, Gabrio
dc.date.accessioned2022-01-06T11:51:04Z
dc.date.available2022-01-06T11:51:04Z
dc.date.issued2021-10-18
dc.identifier.citationMedicina (Kaunas, Lithuania), volume 57, issue 10
dc.identifier.issn1010-660X
dc.identifier.otherPMC8538273
dc.identifier.other34684164
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/332162
dc.description.abstractBackground and Objective: During the COVID-19 pandemic, health systems worldwide made major changes to their organization, delaying diagnosis and treatment across a broad spectrum of pathologies. Concerning surgery, there was an evident reduction in all elective and emergency activities, particularly for benign pathologies such as acute diverticulitis, for which we have identified a reduction in emergency room presentation with mild forms and an increase with more severe forms. The aim of our review was to discover new data on emergency presentation for patients with acute diverticulitis during the Covid-19 pandemic and their current management, and to define a better methodology for surgical decision-making. Method: We conducted a scoping review on 25 trials, analyzing five points: reduced hospital access for patients with diverticulitis, the preferred treatment for non-complicated diverticulitis, the role of CT scanning in primary evaluation and percutaneous drainage as a treatment, and changes in surgical decision-making and preferred treatment strategies for complicated diverticulitis. Results: We found a decrease in emergency access for patients with diverticular disease, with an increased incidence of complicated diverticulitis. The preferred treatment was conservative for non-complicated forms and in patients with COVID-related pneumonia, percutaneous drainage for abscess, or with surgery delayed or reserved for diffuse peritonitis or sepsis. Conclusion: During the COVID-19 pandemic we observed an increased number of complicated forms of diverticulitis, while the total number decreased, possibly due to delay in hospital or ambulatory presentation because of the fear of contracting COVID-19. We observed a greater tendency to treat these more severe forms by conservative means or drainage. When surgery was necessary, there was a preference for an open approach or a delayed operation.
dc.languageeng
dc.publisherMDPI AG
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceessn: 1648-9144
dc.sourcenlmid: 9425208
dc.subjectEmergency Room
dc.subjectDiverticular Disease
dc.subjectAcute Diverticulitis
dc.subjectCovid-19
dc.subjectSars-cov-2
dc.subjectNew Management
dc.titleThe Management of Acute Colonic Diverticulitis in the COVID-19 Era: A Scoping Review.
dc.typeArticle
dc.date.updated2022-01-06T11:51:03Z
prism.publicationNameMedicina (Kaunas)
dc.identifier.doi10.17863/CAM.79608
dcterms.dateAccepted2021-10-15
rioxxterms.versionofrecord10.3390/medicina57101127
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidCirocchi, Roberto [0000-0002-2457-0636]
dc.contributor.orcidBurini, Gloria [0000-0003-0907-4965]
dc.contributor.orcidAmato, Bruno [0000-0002-4262-8467]
dc.contributor.orcidBassotti, Gabrio [0000-0002-0237-1812]
dc.identifier.eissn1648-9144
cam.issuedOnline2021-10-18


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International