NL-OMON27328
Not yet recruiting
Not Applicable
A multicenter randomized clinical trial investigating the cost-effectiveness of treatment strategies with or without antibiotics for uncomplicated acute diverticulitis.
Academic Medical Center, department of Surgery0 sites534 target enrollmentTBD
ConditionsDiverticulitis, antibiotics, observation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diverticulitis, antibiotics, observation
- Sponsor
- Academic Medical Center, department of Surgery
- Enrollment
- 534
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
/A
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Only left\-sided uncomplicated (mild) acute diverticulitis;
- •2\. Clinical suspicion of acute diverticulitis. For acute diagnostic work\-up: ultrasound or CT proven diverticulitis. In the case of diverticulitis\-negative ultrasound in clinically suspected patients an intravenous contrast\-enhanced CT scan is mandatory for confirmation of diverticulitis or exclusion of other pathology. CT for Hinchey/Ambrosetti classification (which is a CT\-based classification system) is needed for all patients, but can be delayed 1 day in those with ultrasound diagnosis. Staging diverticultis is defined according the modified Hinchey/Ambrosetti staging, only stages 1a and 1b and mild diverticulitis (1a Confined pericoloc inflammation, 1b Confined small (smaller than 5cm) pericolic abscess) are included. In the attachments we have added a flow chart, showing systematically the inclusion criteria and the following steps after inclusion;
Exclusion Criteria
- •1\. Previous radiological (ultrasound and/or CT) proven episode of diverticulitis;
- •2\. Colonic cancer;
Outcomes
Primary Outcomes
Not specified
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