Guidelines for the Treatment of Abdominal Abscesses in Acute Diverticulitis: An Umbrella Review.
Roberto CirocchiFrancesca DuroStefano AveniaMatteo CapitoliGiovanni Domenico TebalaMassimiliano AllegrittiBruno CirilloGioia BrachiniPaolo SapienzaGian Andrea BindaAndrea MingoliPiergiorgio FedeliRiccardo NascimbeniPublished in: Journal of clinical medicine (2023)
Currently, different scientific societies recommend that diverticular abscesses with diameters larger than 3 cm should be considered for percutaneous drainage whereas abscesses with diameters smaller than 3 cm could be appropriately treated by medical therapy with antibiotics; only a few guidelines suggest the use of percutaneous drainage for abscesses with a diameter greater than 4 cm. The differences among guidelines are the consequence of the different selection of scientific evidence. In conclusion, our evaluation has revealed the importance of seeking new scientific evidence with higher quality to either confirm, reinforce or potentially weaken the existing recommendations from different societies.
Keyphrases
- ultrasound guided
- clinical practice
- minimally invasive
- healthcare
- liver failure
- radiofrequency ablation
- single cell
- randomized controlled trial
- respiratory failure
- intensive care unit
- drug induced
- bone marrow
- newly diagnosed
- optic nerve
- hepatitis b virus
- extracorporeal membrane oxygenation
- meta analyses
- smoking cessation
- clinical evaluation