Copyright
©The Author(s) 2017.
World J Gastrointest Surg. Nov 27, 2017; 9(11): 224-232
Published online Nov 27, 2017. doi: 10.4240/wjgs.v9.i11.224
Published online Nov 27, 2017. doi: 10.4240/wjgs.v9.i11.224
Table 1 Surgeon demographics
Characteristic | n (%) |
Age range (yr) | |
30-39 | 10 (10) |
40-49 | 37 (37) |
50-59 | 40 (40) |
Over 60 | 14 (14) |
Gender | |
Male | 90 (89) |
Female | 11 (11) |
Location of current practice | |
City (tertiary/quaternary referral center) | 79 (78) |
City (secondary referral) | 16 (16) |
Rural | 6 (6) |
Location of subspecialty training1 | |
Australia/New Zealand | 66 (65) |
Europe | 28 (28) |
North America | 15 (15) |
Country of current practice | |
Australia | 84 (83) |
New Zealand | 17 (17) |
ASU present in current practice location | 57 (56) |
Interventional radiology available | 99 (98) |
Average years in practice (years ± SD) | 14 ± 8.5 |
Table 2 Topics that reached consensus and agree with guideline recommendations
Guideline recommendation | In agreement (%) | P-value |
CT scan as initial diagnostic modality | 77 | |
Surgeon North American trained | 100 vs 73 | 0.0151 |
Surgeon practicing in Australia | 81 vs 59 | 0.047 |
Right-sided diverticulitis - CT initial imaging | 93 | |
Surgeon age < 50 years old | 100 vs 89 | 0.021 |
Right-sided diverticulitis - Initial management oral/IV antibiotics and bowel rest | 95 | |
Surgeon practicing in Australia | 98 vs 82 | 0.0331 |
Small diverticular abscess management with antibiotics/bowel rest | 77 | |
Surgeon North American trained | 100 vs 73 | 0.0151 |
Large left-sided diverticular abscess management with percutaneous drainage | 81 | |
Large right-sided diverticular abscess - percutaneous drainage | 83 | |
Absence of ASU at surgeons place of practice | 93 vs 75 | 0.0161 |
Hinchey Grade 4 - Hartmann’s procedure | 81 | |
Surgeon age > 50 years old | 89 vs 72 | 0.034 |
Routine elective resection in young patient (< 50 years) NOT recommended | 99 | |
For elective anterior resection - extend distal margin to proximal rectum | 94 | |
Surgeon Non-European trained | 99 vs 82 | 0.0061 |
Follow-up for high risk patient with uncomplicated diverticulitis | 99 | |
Endoscopic evaluation following acute episode | 83 |
- Citation: Siddiqui J, Zahid A, Hong J, Young CJ. Colorectal surgeon consensus with diverticulitis clinical practice guidelines. World J Gastrointest Surg 2017; 9(11): 224-232
- URL: https://www.wjgnet.com/1948-9366/full/v9/i11/224.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v9.i11.224