Diverticulitis
Conditions
Keywords
endocan, acute diverticolitis, diverticulitis classification
Brief summary
Quantify the level of endocan in blood samples collected from patients with acute diverticulitis in the emergency department. Determine if endocan levels are correlated with the severity of diverticulitis according to the WSES classification. Assess whether patients requiring emergency surgical intervention have higher endocan values compared to others.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have signed informed consent * Patients who are affected by acute diverticulitis after clinical evaluation and imaging (i.e. u.s. or CeCT)
Exclusion criteria
* Immunosuppressed patients * Patients suffering chronic inflammatory diseases * Patients with concomitant malignancy, cardiac, renal and haepatic failure * History of major vascular surgery (aneurysmectomy) * Pregnant women * Patients participating in other studies that may interfere with the outcome of the intervention.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Endocan serum level at admission | The serum of the patients enrolled inthe study will be collected within two hours from emergency room registation and tested for ENDOCAN | To evaluate the correlation between blood concentration of endocan and severity of diverticulitis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Predictive value of endocan in determining which patients need emergency surgery | Patients will undergo diverticulitis evaluations (per WSES criteria) within 3 hours of Emergency room admission and study enrollment | Concentration of endocan in grade 3-4 WSES compared to grade1-2 |
| Prognostic value of endocan in determining the risk of recurrent diveritculitis | From discharge after definitive tretament till 12 months follow-up | Concentration of endocan in patient who develop a recurrence after 1 year follow-up |
Countries
Italy