Evidence map›Paper›PMID 39733172›Full record

GuidelineSurgical endoscopy2025

EAES rapid guideline: surgical management of complicated diverticulitis - with ESCP participation.

Stavros A Antoniou, Bright Huo, Monica Ortenzi, Roi Anteby, Yegor Tryliskyy, Francesco Maria Carrano, Georgios Seitidis, Dimitris Mavridis, Vincent T Hoek, Alberto Serventi and 17 more

Abstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Stavros A AntoniouDepartment of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece. stavros.antoniou@hotmail.com.
Bright HuoDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-4999-4328
Monica OrtenziDepartment of General and Emergency Surgery, Polytechnic University of Marche, Ancona, Italy.
Roi AntebyDepartment of Surgery B, Sheba Medical Center, Tel Hashomer, Israel.
Yegor TryliskyyGreat Western Hospitals, NHS, Swindon, UK.
Francesco Maria CarranoDepartment of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St Andrea Hospital, Sapienza University, Rome, Italy.
Georgios SeitidisDepartment of Primary Education, School of Education, University of Ioannina, Ioannina, Greece.
Dimitris MavridisDepartment of Primary Education, School of Education, University of Ioannina, Ioannina, Greece.
Vincent T HoekDepartment of Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.
Alberto ServentiDepartment of Surgery, Ospedale Mons Galliano, Acqui Terme (AL), Italy.
Willem A BemelmanDepartment of Surgery, Amsterdam University Medical Centers, Amsterdam, Netherlands.
Gian Andrea BindaGeneral Surgery, Biomedical Institute, 16152, Genoa, Italy.
Rafael DuranDepartment of Radiology and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Triantafyllos DouliasDepartment of Colorectal Surgery, Colchester Hospital, East Suffolk and North Essex NHS Foundation Trust, Colchester, UK.
Nauzer ForbesDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Nader K FrancisNorthwick Park and St Mark's Hospital, The Griffin Institute, London, UK.
Fabian GrassDepartment of Visceral Surgery, Lausanne University Hospital CHUV, University of Lausanne (UNIL), Lausanne, Switzerland.
Jesper JensenPatient Partner, Roskilde, Denmark.
Marianne KrogsgaardDepartment of Surgery, Zealand University Hospital, Koege, Denmark.
Lisa H MasseyDepartment of Colorectal Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Luca MorelliDivision of Translational and New Technologies in Medicine and Surgery, General Surgery Department, University of Pisa, Pisa, Italy.
Christian E OberkoflerSwiss HPB and Transplantation Center, Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
Dorin E PopaDepartment of Surgery, Linköping University Hospital, Linköping, Sweden.
Johannes Kurt SchultzInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Shahnaz SultanDepartment of Medicine, Division of Gastroenterology, University of Minnesota, Minneapolis, MN, USA.
Jean-Jacques TuechDepartment of Digestive Surgery, Rouen University Hospital, 1 Rue de Germont, 76000, Rouen, France.
Hendrik Jaap BonjerCancer Center Amsterdam, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe surgical management of complicated diverticulitis varies across Europe. EAES members prioritized this topic to be addressed by a clinical practice guideline through an online questionnaire.

objectiveTo 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.

methodsInformed by a linked individual participant data network meta-analysis of resection and primary anastomosis (PRA) versus Hartmann's resection (HR) versus laparoscopic lavage (LPL), a panel of general and colorectal surgeons, patient partners, trialists, and fellows appraised the certainty of the evidence using GRADE and CINeMA. The panel discussed the evidence using the evidence-to-decision framework during a synchronous consensus meeting. An asynchronous modified Delphi survey was used to establish consensus.

resultsThe panel suggests that patients with complicated diverticulitis without sepsis receive PRA over HR or LPL when there is availability of a surgeon with skills and experience in colorectal surgery. HR is suggested over PRA or LPL in the subgroups of septic, frail, as well as immunocompromised patients. These recommendations apply to patients with an indication for surgery. Surgeons and patients should first consider conditionally recommended interventions, then conditionally recommended against. Based on the evidence, the key benefit of PRA was a higher likelihood of not having a stoma at 1 year, with similar risks across comparisons. Conditional recommendations call for shared decision-making when considering management options. The full guideline with user-friendly decision aids is available in https://app.magicapp.org/#/guideline/7490 .

conclusionThis 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.

Indexed as

Diverticulitis, ColonicLaparoscopyAnastomosis, SurgicalConsensusDelphi TechniqueEuropeHumansColorectal surgeryDiverticulitisGuidelinesLaparoscopic surgeryMinimally invasive surgery

Identifiers

PMID39733172

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.