Nonoperative management of acute complicated diverticulitis with pericolic and/or distant extraluminal air: A systematic review.
acute diverticulitis
extaluminal air
non‐operative management
Journal
World journal of surgery
ISSN: 1432-2323
Titre abrégé: World J Surg
Pays: United States
ID NLM: 7704052
Informations de publication
Date de publication:
06 Jun 2024
06 Jun 2024
Historique:
received:
27
01
2024
accepted:
27
05
2024
medline:
7
6
2024
pubmed:
7
6
2024
entrez:
6
6
2024
Statut:
aheadofprint
Résumé
Colonic Diverticular Disease (CDD) is a multifactorial inflammatory disease. Acute diverticulitis (AD), with extraluminal free air (both pericolic and distant), represents about 15% of radiological scenarios and remains a therapeutic challenge for surgeons. Currently, the WSES guidelines suggest trying a conservative strategy both in the presence of pericolic and distant free extraluminal air, even if both have respectively weak recommendation based on low/very low-quality evidence. We performed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guidelines. PubMed/MEDLINE, Scopus, Web of Science, and Embase databases were used to identify articles of interest. A total of 2380 patients with AD and extraluminal free air (both pericolic and distant) who underwent nonoperative management (NOM) were analyzed. Of the 2380 patients, 2095(88%) were successfully treated with NOM, while 285 (12%) patients failed. A total of 1574 (93.1%) patients with pericolic extraluminal free air had a successful NOM with 6.9% (117) failure rates, while 135 (71.1%) patients with distant extraluminal free air had a successful NOM with 28.9% (55) failure rates. Regarding distant recurrence, we recorded a rate of 18.3% (261/1430), while a rate of 11.3% (167/1472) was recorded for patients undergoing elective surgery. NOM for patients with AD and extraluminal free air (both pericolic and distant) seems to be feasible and safe despite a higher failure rate in the distant subgroup, which remains the most challenging clinical scenario to deal with through conservative treatment.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).
Références
Strate, L. L., and A. M. Morris. 2019. “Epidemiology, Pathophysiology, and Treatment of Diverticulitis.” Gastroenterology 156(5): 1282–1298.e1. https://doi.org/10.1053/j.gastro.2018.12.033.
Wheat, C. L., and L. L. Strate. 2016. “Trends in Hospitalization for Diverticulitis and Diverticular Bleeding in the United States from 2000 to 2010.” Clinical Gastroenterology and Hepatology 14(1): 96–103. https://doi.org/10.1016/j.cgh.2015.03.030.
Yamamichi, N., T. Shimamoto, Y. Takahashi, Y. Sakaguchi, H. Kakimoto, R. Matsuda, Y. Kataoka, et al. 2015. “Trend and Risk Factors of Diverticulosis in Japan: Age, and Lifestyle/metabolic‐Related Factors May Cooperatively Affect on the Colorectal Diverticula Formation.” PLoS One 10(4): e0123688. https://doi.org/10.1371/journal.pone.0123688.
Painter, N. S., and D. P. Burkitt. 1975. “Diverticular Disease of the Colon, a 20th Century Problem.” Clinics in Gastroenterology 4(1): 3–21. https://doi.org/10.1016/s0300‐5089(21)00094‐8.
Parks, T. G. 1975. “Natural History of Diverticular Disease of the Colon.” Clinics in Gastroenterology 4(1): 53–69. https://doi.org/10.1016/s0300‐5089(21)00097‐3.
Peery, A. F., S. D. Crockett, A. S. Barritt, E. S. Dellon, S. Eluri, L. M. Gangarosa, E. T. Jensen, et al. 2015. “Burden of Gastrointestinal, Liver, and Pancreatic Diseases in the United States.” Gastroenterology 149(7): 1731–1741.e3. https://doi.org/10.1053/j.gastro.2015.08.045.
Rezapour, M., S. Ali, and N. Stollman. 2018. “Diverticular Disease: An Update on Pathogenesis and Management.” Gut Liver 12(2): 125–132. https://doi.org/10.5009/gnl16552.
Young‐Fadok, T. M. 2018. “Diverticulitis.” New England Journal of Medicine 379(17): 1635–1642. https://doi.org/10.1056/nejmcp1800468.
Andeweg, C. S., J. A. Wegdam, J. Groenewoud, G. J. van der Wilt, H. van Goor, and R. P. Bleichrodt. 2014. “Toward an Evidence‐Based Step‐Up Approach in Diagnosing Diverticulitis.” Scandinavian Journal of Gastroenterology 49(7): 775–784. https://doi.org/10.3109/00365521.2014.908475.
Wasvary, H., F. Turfah, O. Kadro, and W. Beauregard. 1999. “Same Hospitalization Resection for Acute Diverticulitis.” The American Surgeon 65(7): 632–635: discussion 636. https://doi.org/10.1177/000313489906500706.
Ritz, J.‐P., K. S. Lehmann, C. Loddenkemper, B. Frericks, H. J. Buhr, and C. Holmer. 2010. “Preoperative CT Staging in Sigmoid Diverticulitis—Does it Correlate with Intraoperative and Histological Findings?” Langenbeck's Archives of Surgery 395(8): 1009–1015. https://doi.org/10.1007/s00423‐010‐0609‐2.
Mora Lopez, L., S. Serra Pla, X. Serra‐Aracil, E. Ballesteros, and S. Navarro. 2013. “Application of a Modified Neff Classification to Patients with Uncomplicated Diverticulitis.” Colorectal Di 15(11): 1442–1447. https://doi.org/10.1111/codi.12449.
Sartelli, M., F. A. Moore, L. Ansaloni, S. Di Saverio, F. Coccolini, E. A. Griffiths, R. Coimbra, et al. 2015. “A Proposal for a CT Driven Classification of Left Colon Acute Diverticulitis.” World Journal of Emergency Surgery 10(1): 3. https://doi.org/10.1186/1749‐7922‐10‐3.
Sartelli, M., F. Catena, L. Ansaloni, F. Coccolini, E. A. Griffiths, F. M. Abu‐Zidan, S. Di Saverio, et al. 2016. “WSES Guidelines for the Management of Acute Left Sided Colonic Diverticulitis in the Emergency Setting.” World Journal of Emergency Surgery 11(1): 37. https://doi.org/10.1186/s13017‐016‐0095‐0.
Moher, D., A. Liberati, and J. Tetzlaff. 2009. “Preferred Reporting Items for Systematic Reviews and Meta‐Analyses: The PRISMA Statement.” Annals of Internal Medicine 151(4): 264–269. https://doi.org/10.7326/0003‐4819‐151‐4‐200908180‐00135.
Ouzzani, M., H. Hammady, Z. Fedorowicz, and A. Elmagarmid. 2016. “Rayyan — a Web and Mobile App for Systematic Reviews.” Systematic Reviews 5(1): 210. https://doi.org/10.1186/s13643‐016‐0384‐4.
Stang, A. 2010. “Critical Evaluation of the Newcastle‐Ottawa Scale for the Assessment of the Quality of Nonrandomized Studies in Meta‐Analyses.” European Journal of Epidemiology 25(9): 603–605. https://doi.org/10.1007/s10654‐010‐9491‐z.
Wells, G. A., G. Wells, B. Shea, J. Peterson, V. Welch, M. Losos, and P. Tugwell. 2014. The Newcastle‐Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta‐Analyses.
Page, M. J., J. E. McKenzie, P. M. Bossuyt, I. Boutron, T. C. Hoffmann, C. D. Mulrow, L. Shamseer, et al. 2021. “The PRISMA 2020 Statement: an Updated Guideline for Reporting Systematic Reviews.” BMJ 372: n71. https://doi.org/10.1136/bmj.n71.
Dharmarajan, S., S. R. Hunt, E. H. Birnbaum, J. W. Fleshman, and M. G. Mutch. 2011. “The Efficacy of Nonoperative Management of Acute Complicated Diverticulitis.” Diseases of the Colon & Rectum 54(6): 663–671. https://doi.org/10.1007/DCR.0b013e31820ef759.
Costi, R., F. Cauchy, A. Le Bian, J.‐F. Honart, N. Creuze, and C. Smadja. 2012. “Challenging a Classic Myth: Pneumoperitoneum Associated with Acute Diverticulitis Is Not an Indication for Open or Laparoscopic Emergency Surgery in Hemodynamically Stable Patients. A 10‐year Experience with a Nonoperative Treatment.” Surgical Endoscopy 26(7): 2061–2071. https://doi.org/10.1007/s00464‐012‐2157‐z.
Lahat, A., B. Avidan, E. Sakhnini, L. Katz, H. H. Fidder, and S. B. Meir. 2013. “Acute Diverticulitis: a Decade of Prospective Follow‐Up.” Journal of Clinical Gastroenterology 47(5): 415–419. https://doi.org/10.1097/MCG.0b013e3182694dbb.
Bridoux, V., M. Antor, L. Schwarz, J. Cahais, H. Khalil, F. Michot, and J.‐J. Tuech. 2014. “Elective Operation after Acute Complicated Diverticulitis: Is it Still Mandatory?” World Journal of Gastroenterology 20(25): 8166–8172. https://doi.org/10.3748/wjg.v20.i25.8166.
Sallinen, V. J., P. J. Mentula, and A. K. Leppäniemi. 2014. “Nonoperative Management of Perforated Diverticulitis with Extraluminal Air Is Safe and Effective in Selected Patients.” Diseases of the Colon & Rectum 57(7): 875–881. https://doi.org/10.1097/DCR.0000000000000083.
Thorisson, A., K. Smedh, M. R. Torkzad, L. Påhlman, and A. Chabok. 2016. “A. CT Imaging for Prediction of Complications and Recurrence in Acute Uncomplicated Diverticulitis.” International Journal of Colorectal Disease 31(2): 451–457. https://doi.org/10.1007/s00384‐015‐2423‐3.
Colas, P. A., E. Duchalais, Q. Duplay, V. Serra‐Maudet, S. Kanane, C. Ridereau‐Zins, E. Lermite, C. Aubé, A. Hamy, and A. Venara. 2017. “A. Failure of Conservative Treatment of Acute Diverticulitis with Extradigestive Air.” World Journal of Surgery 41(7): 1890–1895. https://doi.org/10.1007/s00268‐017‐3931‐9.
Mora López, L., R. Flores Clotet, X. Serra Aracil, N. Montes Ortega, and S. Navarro Soto. 2017. “The Use of the Modified Neff Classification in the Management of Acute Diverticulitis.” Rev Esp Enferm Dig 109(5): 328–334. https://doi.org/10.17235/reed.2017.4738/2016.
Titos‐García, A., J. M. Aranda‐Narváez, L. Romacho‐López, A. J. González‐Sánchez, I. Cabrera‐Serna, and J. Santoyo‐Santoyo. 2017. “Nonoperative Management of Perforated Acute Diverticulitis with Extraluminal Air: Results and Risk Factors of Failure.” International Journal of Colorectal Disease 32(10): 1503–1507. https://doi.org/10.1007/s00384‐017‐2852‐2.
You, K., R. Bendl, C. Taut, R. Sullivan, M. Gachabayov, R. Bergamaschi, T. M. Connolly, et al. 2018. “Study Group on Diverticulitis. Randomized Clinical Trial of Elective Resection versus Observation in Diverticulitis with Extraluminal Air or Abscess Initially Managed Conservatively.” Br J Surg 105(8): 971–979. https://doi.org/10.1002/bjs.10868.
Thorisson, A., M. Nikberg, K. Andreasson, K. Smedh, and A. Chabok. 2018. “Non‐operative Management of Perforated Diverticulitis with Extraluminal or Free Air ‐ a Retrospective Single Center Cohort Study.” Scandinavian Journal of Gastroenterology 53(10–11): 1298–1303. https://doi.org/10.1080/00365521.2018.1520291.
Bolkenstein, H. E., S. T. van Dijk, E. C. J. Consten, B. g. f. Heggelman, C. M. A. Hoeks, I. A. M. J. Broeders, M. A. Boermeester, and W. A. Draaisma. 2019. “Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment.” Journal of Gastrointestinal Surgery 23(11): 2269–2276. https://doi.org/10.1007/s11605‐019‐04153‐9.
Meyer, J., A. Caruso, E. Roos, A. Balaphas, C. Toso, P.‐A. Poletti, F. Ris, and N. C. Buchs. 2019. “The Clinical Significance of Extraluminal Air in Hinchey 1a Diverticulitis: Results from a Retrospective Cohort Study with 10‐year Follow‐Up.” International Journal of Colorectal Disease 34(12): 2053–2058. https://doi.org/10.1007/s00384‐019‐03424‐w.
Fernández A., M. Paz, C. Miguieles, and Rodrigo. 2020. “Manejo conservador en diverticulitis aguda perforada con aire extraluminal.” Revista de Cirugia 72(4): 319–327: [online]. https://doi.org/10.35687/s2452‐45492020004633.
Vogels, S., M. Frouws, A. N. Morks, D. Roos, J. van den Bremer, S. M. P. Koch, R. H. M. Smithuis, R. Hoencamp, and G. M. van der Wilden. 2021. “Treating Acute Colonic Diverticulitis with Extraluminal Pericolic Air: An Acute Care Surgery in the Netherlands (ACCSENT) Multicenter Retrospective Cohort Study.” Surgery 169(5): 1182–1187. https://doi.org/10.1016/j.surg.2020.10.032.
Sebastián‐Tomás, J. C., S. A. Gómez‐Abril, T. Ripollés, A. Manrique, T. Torres‐Sanchez, and M. J. Martínez‐Pérez. 2022. “How to Strengthen the Management of Acute Diverticulitis: the Utility of the WSES Classification‐A Prospective Single‐Center Observational Study.” European Journal of Trauma and Emergency Surgery 48(5): 4283–4291. https://doi.org/10.1007/s00068‐022‐01911‐4.
Martín‐Román, L., M. Fernández‐Martínez, S. Kayser Mata, R. Colombari, P. Pascual‐Espinosa, C. Rey‐Valcárcel, L. M. Jiménez‐Gómez, and F. Turégano‐Fuentes. 2022. “Relevance of Pneumoperitoneum in the Conservative Approach to Complicated Acute Diverticulitis. A Retrospective Study Identifying Risk Factors Associated with Treatment Failure.” Minerva Surg 77(4): 327–334. https://doi.org/10.23736/S2724‐5691.21.08997‐8.
Ocaña J., J. C. García‐Pérez, D. Fernández‐Martínez, I. Pascual, P. Lora, E. Espin, M. Labalde‐Martínez, et al. 2023. “Diverticulitis with Abscess Formation: Outcomes of Non‐operative Management and Nomogram for Predicting Emergency Surgery: The Diplicab Study Collaborative Group.” Surgery 174(3): 492–501. https://doi.org/10.1016/j.surg.2023.05.016.
Tejedor, P., C. Pastor, G. Pellino, M. Gorter‐Stam, P. Sylla, and N. Francis, and Collaborative Study Group. 2023. “Management of Acute Diverticulitis with Pericolic Free Gas (ADIFAS): an International Multicenter Observational Study.” International Journal of Surgery 109(4): 689–697. https://doi.org/10.1097/JS9.0000000000000213.
Siewert, B., G. Tye, J. Kruskal, J. Sosna, and F. Opelka. 2006. “Impact of CT‐guided Drainage in the Treatment of Diverticular Abscesses: Size Matters.” American Journal of Roentgenology 186(3): 680–686: Erratum in: AJR Am J Roentgenol. 2007 Sep;189(3):512. Raptopoulos, Vassilios [added]; Goldberg, S Nahum [added]. . https://doi.org/10.2214/AJR.04.1708.
Ambrosetti, P., C. Becker, and F. Terrier. 2002. “Colonic Diverticulitis: Impact of Imaging on Surgical Management ‐‐ a Prospective Study of 542 Patients.” European Radiology 12(5): 1145–1149. https://doi.org/10.1007/s00330‐001‐1143‐y.
Hinchey, E. J., P. G. Schaal, and G. K. Richards. 1978. “Treatment of Perforated Diverticular Disease of the Colon.” Advances in Surgery 12: 85–109.
Neff, C. C., and Eric vanSonnenberg. 1989. “CT of Diverticulitis. Diagnosis and Treatment.” Radiol Clin North Am 27(4): 743–752. https://doi.org/10.1016/s0033‐8389(22)02158‐3.
Kaiser, A. M., J.‐K. Jiang, J. P. Lake, G. Ault, A. Artinyan, C. Gonzalez‐Ruiz, R. Essani, and R. W. Beart. 2005. “The Management of Complicated Diverticulitis and the Role of Computed Tomography.” American Journal of Gastroenterology 100(4): 910–917. https://doi.org/10.1111/j.1572‐0241.2005.41154.x.
van Dijk, S. T., S. A. N. Doelare, A. A. W. van Geloven, and M. A. Boermeester. 2018. “A Systematic Review of Pericolic Extraluminal Air in Left‐Sided Acute Colonic Diverticulitis.” Surgical Infections 19(4): 362–368. https://doi.org/10.1089/sur.2017.236.
Chua, T. C., A. Jeyakumar, J. C. Y. Ip, P. J. Yuide, and M. J. Burstow. 2020. “Conservative Management of Acute Perforated Diverticulitis: A Systematic Review.” Journal of Digestive Disorder 21(2): 63–68. https://doi.org/10.1111/1751‐2980.12838.
Karentzos, A., D. Ntourakis, K. Tsilidis, G. Tsoulfas, and T. Papavramidis. 2021. “Hinchey Ia Acute Diverticulitis with Isolated Pericolic Air on CT Imaging; to Operate or Not? A Systematic Review.” International Journal of Surgery 85: 1–9. https://doi.org/10.1016/j.ijsu.2020.11.019.
Eglinton, T., T. Nguyen, S. Raniga, L. Dixon, B. Dobbs, and F. A. Frizelle. 2010. “Patterns of Recurrence in Patients with Acute Diverticulitis.” British Journal of Surgery 97(6): 952–957. https://doi.org/10.1002/bjs.7035.
Buchs, N. C., N. J. Mortensen, F. Ris, P. Morel, and P. Gervaz. 2015. “Natural History of Uncomplicated Sigmoid Diverticulitis.” World Journal of Gastrointestinal Surgery 7(11): 313–318. https://doi.org/10.4240/wjgs.v7.i11.313.
Andeweg, C. S., R. Berg, J. B. Staal, R. P. G. ten Broek, and H. van Goor. 2016. “Patient‐reported Outcomes after Conservative or Surgical Management of Recurrent and Chronic Complaints of Diverticulitis: Systematic Review and Meta‐Analysis.” Clinical Gastroenterology and Hepatology 14(2): 183–190. https://doi.org/10.1016/j.cgh.2015.08.020.
Hall, J., K. Hardiman, S. Lee, A. Lightner, L. Stocchi, I. M. Paquette, S. R. Steele, and D. L. Feingold. 2020. “Prepared on Behalf of the Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Left‐Sided Colonic Diverticulitis.” Diseases of the Colon & Rectum 63(6): 728–747. https://doi.org/10.1097/DCR.0000000000001679.
Bolkenstein, H. E., E. C. J. Consten, J. van der Palen, I. A. M. J. Broeders, W. A. Bemelman, J. F. Lange, M. A. Boermeester, and W. A. Draaisma. , and Dutch Diverticular Disease (3D) Collaborative Study Group. 2019. “Long‐term Outcome of Surgery versus Conservative Management for Recurrent and Ongoing Complaints after an Episode of Diverticulitis: 5‐year Follow‐Up Results of a Multicenter Randomized Controlled Trial (DIRECT‐Trial).” Annals of Surgery 269(4): 612–620. https://doi.org/10.1097/SLA.0000000000003033.
Sartelli, M., F. Catena, L. Ansaloni, F. Coccolini, E. A. Griffiths, F. M. Abu‐Zidan, S. Di Saverio, et al. 2016. “WSES Guidelines for the Management of Acute Left Sided Colonic Diverticulitis in the Emergency Setting.” World Journal of Emergency Surgery 11(1): 37. https://doi.org/10.1186/s13017‐016‐0095‐0.