Surgical Management of Complicated Diverticulitis

Publication Date: December 28, 2024
Last Updated: January 6, 2025

Summary of Recommendations

In patients with complicated diverticulitis without sepsis, we suggest sigmoid resection with primary anastomosis, with or without diverting ileostomy, over Hartmann's procedure or laparoscopic lavage, if there is availability of a surgeon with skills and experience in colorectal surgery. (C, L )
620
In patients with complicated diverticulitis without sepsis, we suggest Hartmann’s procedure over sigmoid resection with primary anastomosis or lavage, if there is no availability of a surgeon with skills and experience in colorectal surgery. (C, L )
620
In patients with complicated diverticulitis with sepsis, we suggest Hartmann’s procedure over sigmoid resection with primary anastomosis or laparoscopic lavage. (C, VL )
620
In frail patients with complicated diverticulitis, we suggest Hartmann’s procedure over sigmoid resection with primary anastomosis or laparoscopic lavage. (C, VL )
620
In immunocompromized patients with complicated diverticulitis, we suggest Hartmann’s procedure over sigmoid resection with primary anastomosis or laparoscopic lavage. (C, VL )
620

Recommendation Grading

Disclaimer

The information in this patient summary should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health.

Overview

Title

Surgical Management of Complicated Diverticulitis

Authoring Organization

European Association of Endoscopic Surgery

Publication Month/Year

December 28, 2024

Last Updated Month/Year

January 6, 2025

Document Type

Guideline

Country of Publication

European

Document Objectives

To develop evidence-informed clinical practice recommendations for key stakeholders involved in the treatment of complicated diverticulitis; to improve operative and perioperative outcomes, patient experience and quality of life through a systematic evidence-to-decision approach by a diverse, multidisciplinary panel. This clinical practice guideline provides evidence-informed recommendations on the management of patients with complicated diverticulitis in accordance with the highest methodological standards through a structured framework informed by an international, multidisciplinary panel of stakeholders.

Target Patient Population

Patients with complicated diverticulitis

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings

Outpatient, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Management

Diseases/Conditions (MeSH)

D004238 - Diverticulitis

Keywords

diverticulitis, Colorectal Surgery

Source Citation

Antoniou SA, Huo B, Ortenzi M, Anteby R, Tryliskyy Y, Carrano FM, Seitidis G, Mavridis D, Hoek VT, Serventi A, Bemelman WA, Binda GA, Duran R, Doulias T, Forbes N, Francis NK, Grass F, Jensen J, Krogsgaard M, Massey LH, Morelli L, Oberkofler CE, Popa DE, Schultz JK, Sultan S, Tuech JJ, Bonjer HJ. EAES rapid guideline: surgical management of complicated diverticulitis - with ESCP participation. Surg Endosc. 2024 Dec 28. doi: 10.1007/s00464-024-11445-y. Epub ahead of print. PMID: 39733172.