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ACR Appropriateness Criteria® Left Lower Quadrant Pain-Suspected Diverticulitis.

Publication ,  Journal Article
Expert Panel on Gastrointestinal Imaging:, ; Galgano, SJ; McNamara, MM; Peterson, CM; Kim, DH; Fowler, KJ; Camacho, MA; Cash, BD; Chang, KJ ...
Published in: J Am Coll Radiol
May 2019

This review summarizes the relevant literature regarding imaging of suspected diverticulitis as an etiology for left lower quadrant pain, and imaging of complications of acute diverticulitis. The most common cause of left lower quadrant pain in adults is acute sigmoid or descending colonic diverticulitis. Appropriate imaging triage for patients with suspected diverticulitis should address the differential diagnostic possibilities and what information is necessary to make a definitive management decision. Patients with diverticulitis may require surgery or interventional radiology procedures because of associated complications, including abscesses, fistulas, obstruction, or perforation. As a result, there has been a trend toward greater use of imaging to confirm the diagnosis of diverticulitis, evaluate the extent of disease, and detect complications before deciding on appropriate treatment. Additionally, in the era of bundled payments and minimizing health care costs, patients with acute diverticulitis are being managed on an outpatient basis and rapid diagnostic imaging at the time of initial symptoms helps to streamline and triage patients to the appropriate treatment pathway. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2019

Volume

16

Issue

5S

Start / End Page

S141 / S149

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Evidence-Based Medicine
  • Diverticulitis, Colonic
  • Diagnosis, Differential
  • Contrast Media
  • Abdominal Pain
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Expert Panel on Gastrointestinal Imaging:, ., Galgano, S. J., McNamara, M. M., Peterson, C. M., Kim, D. H., Fowler, K. J., … Carucci, L. R. (2019). ACR Appropriateness Criteria® Left Lower Quadrant Pain-Suspected Diverticulitis. J Am Coll Radiol, 16(5S), S141–S149. https://doi.org/10.1016/j.jacr.2019.02.015
Expert Panel on Gastrointestinal Imaging:, Laura R., Samuel J. Galgano, Michelle M. McNamara, Christine M. Peterson, David H. Kim, Kathryn J. Fowler, Marc A. Camacho, et al. “ACR Appropriateness Criteria® Left Lower Quadrant Pain-Suspected Diverticulitis.J Am Coll Radiol 16, no. 5S (May 2019): S141–49. https://doi.org/10.1016/j.jacr.2019.02.015.
Expert Panel on Gastrointestinal Imaging:, Galgano SJ, McNamara MM, Peterson CM, Kim DH, Fowler KJ, et al. ACR Appropriateness Criteria® Left Lower Quadrant Pain-Suspected Diverticulitis. J Am Coll Radiol. 2019 May;16(5S):S141–9.
Expert Panel on Gastrointestinal Imaging:, Laura R., et al. “ACR Appropriateness Criteria® Left Lower Quadrant Pain-Suspected Diverticulitis.J Am Coll Radiol, vol. 16, no. 5S, May 2019, pp. S141–49. Pubmed, doi:10.1016/j.jacr.2019.02.015.
Expert Panel on Gastrointestinal Imaging:, Galgano SJ, McNamara MM, Peterson CM, Kim DH, Fowler KJ, Camacho MA, Cash BD, Chang KJ, Feig BW, Gage KL, Garcia EM, Kambadakone AR, Levy AD, Liu PS, Marin D, Moreno C, Pietryga JA, Smith MP, Weinstein S, Carucci LR. ACR Appropriateness Criteria® Left Lower Quadrant Pain-Suspected Diverticulitis. J Am Coll Radiol. 2019 May;16(5S):S141–S149.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2019

Volume

16

Issue

5S

Start / End Page

S141 / S149

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Evidence-Based Medicine
  • Diverticulitis, Colonic
  • Diagnosis, Differential
  • Contrast Media
  • Abdominal Pain
  • 3202 Clinical sciences