CompletedNot Applicable

ARES Trial: Approach to Resection and Evaluation in Severe Diverticulitis

Italy578 participantsStarted 2017-01-01

Plain-language summary

This observational study was conducted across five surgical centers in Italy, including both academic and community hospitals, from January 2017 to December 2022. The study aimed to evaluate outcomes in patients with acute perforated sigmoid diverticulitis classified as Hinchey Stage III or IV. All consecutive patients aged 18 years or older who presented with acute perforated sigmoid diverticulitis and underwent emergency colonic resection were included. Patients were excluded if they had Hinchey Stage I or II diverticulitis, postoperative confirmation of malignancy, or underwent laparoscopic surgery. This approach ensured a well-defined patient cohort for consistent and reliable analysis.

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Adults aged ≥18 years * Clinical diagnosis of perforated sigmoid diverticulitis (Hinchey Stage III or IV) * Clinically stable and suitable for undergoing emergency colonic resection * Eligible to receive either primary anastomosis with diverting loop ileostomy or Hartmann's procedure * Informed consent provided by the patient or a legal surrogate Exclusion Criteria: Hinchey Stage I or II diverticulitis * Postoperative confirmation of malignancy as the primary cause of perforation * Laparoscopic surgery instead of open colonic resection * Unstable patients with severe sepsis, septic shock, or significant hemodynamic compromise

What they're measuring

ostomy closure

Timeframe: 24 mounths

Trial details

NCT IDNCT07094594

SponsorAzienda Sanitaria Locale Napoli 2 Nord

Sponsor typeOTHER

Study typeOBSERVATIONAL

Primary completion2025-01-01

View on ClinicalTrials.gov More Diverticular Disease of Colon trials