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A proposal for a CT driven classification of left colon acute diverticulitis

2015; BioMed Central; Volume: 10; Issue: 1 Linguagem: Inglês

10.1186/1749-7922-10-3

1749-7922

Massimo Sartelli, Frederick A. Moore, Luca Ansaloni, Salomone Di Saverio, Federico Coccolini, Ewen A. Griffiths, Raúl Coimbra, Ferdinando Agresta, Boris Sakakushev, Carlos A. Ordóñez, Fikri M. Abu‐Zidan, Aleksandar Karamarković, Goran Augustin, David Costa Navarro, Jan Ulrych, Zaza Demetrashvili, Renato Bessa Melo, Sanjay Marwah, Sanoop Koshy Zachariah, Imtiaz Wani, Vishal G. Shelat, Jae Il Kim, Michael McFarlane, Tadaja Pintar, Miran Rems, Miklosh Bala, Offir Ben‐Ishay, Carlos Augusto Gomes, Mário Paulo Faro, Gerson Alves Pereira Júnior, Marco Catani, Gian Luca Baiocchi, Roberto Bini, Gabriele Anania, Ionuţ Negoi, Zurabs Kecbaja, Abdelkarim H Omari, Yunfeng Cui, Jakub Kenig, Norio Sato, András Vereczkei, M Škrovina, Koray Daş, Giovanni Bellanova, Isidoro Di Carlo, Helmut Alfredo Segovia Lohse, Victor Kong, Kenneth Yuh Yen Kok, Damien Massalou, Dmitry Smirnov, Mahir Gachabayov, Georgios Gkiokas, Athanasios Marinis, Charalambos Spyropoulos, Ioannis Nikolopoulos, Konstantinos Bouliaris, Jaan Tepp, Varut Lohsiriwat, Elif Çolak, Arda Işık, Daniel Ríos‐Cruz, Rodolfo Soto, Ashraf Abbas, Cristian Tranà, Emanuele Caproli, Darija Soldatenkova, Francesco Corcione, Diego Piazza, Fausto Catena,

Gastrointestinal disorders and treatments

Computed tomography (CT) imaging is the most appropriate diagnostic tool to confirm suspected left colonic diverticulitis. However, the utility of CT imaging goes beyond accurate diagnosis of diverticulitis; the grade of severity on CT imaging may drive treatment planning of patients presenting with acute diverticulitis. The appropriate management of left colon acute diverticulitis remains still debated because of the vast spectrum of clinical presentations and different approaches to treatment proposed. The authors present a new simple classification system based on both CT scan results driving decisions making management of acute diverticulitis that may be universally accepted for day to day practice.