831 Diagnosis, Management, and Follow Up of Patients with CT Proven Acute Uncomplicated Colonic Diverticulitis

Aim Acute diverticulitis is one of the most common gastrointestinal diseases in the Western world. The aim of this audit is to evaluate the management of acute uncomplicated colonic diverticulitis as per the 2020 update of WSES guidelines:Clinical assessment, inflammatory markers, and CT AP in all suspected patientsAntibiotic therapy not recommended in immunocompetent patientsAmbulatory management for immunocompetent patientsRe-evaluation within 7 daysRoutine colonic evaluation is not recommended. Method Data collection proforma designed according to WSES guidelines Retrospective data collection: Acute admissions between July to September 2023 in a single centre Any age and gender CT proven acute uncomplicated diverticulitis Patients with complicated diverticulitis were excluded Results 53 patients were included. Mean Age: 63, Age range: 34 – 89, and 70% patients were female. Commonest CT finding: Sigmoid diverticulitis (n=33).Complete clinical assessment as per guidelinesAll patients, regardless of their clinical status, received antibiotic therapyAmbulatory care offered to only 57% of patientsOnly a small percentage of patients were offered re-evaluation within 7 days (37% compliance)Patients were offered OP colonic evaluation (75% compliance) Conclusions Inconsistent compliance with WSES guidelines for management of acute uncomplicated colonic diverticulitis. Arrange teaching sessions for the surgical staff and devise a management plan for acute uncomplicated diverticulitis that is in accordance with the guidelines. Printouts of WSES guidelines to be made available on the acute surgical floor. Re-audit after 4 – 8 weeks.