AIDE: Decision Support for Emergency Surgery in Complicated Diverticulitis
Official title: AIDE: a Multicenter Observational Study to Support the Decision Between Anastomosis and Colostomy in Emergency Surgery for Complicated Acute Diverticulitis
Run by IRCCS San Raffaele Roma · NCT07651072 · Data updated 2026-11-12
This observational study collects real-world data from adults undergoing emergency surgery for complicated diverticulitis to see how decisions between primary anastomosis and Hartmann’s procedure are made.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | IRCCS San Raffaele Roma Academic / other |
| Locations | 2 sites (Novedrate, Como and 1 other locations) |
| Status | Recruiting |
| Started | May 15, 2026 |
| Main results expected | December 31, 2029 |
| Study ends | December 31, 2029 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07651072 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with acute complicated diverticulitis requiring non-elective surgery and planning to use minimally invasive approaches, across centers.
✕Probably not a fit
Patients not undergoing emergent surgery or those managed non-operatively are not eligible for benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The study is multicenter and non-interventional, focusing on patients needing urgent surgery for complicated diverticulitis. It gathers standardized clinical, radiological, intraoperative, and surgeon-reported data, including images when available. The goal is to validate and refine an expert-informed AI-based decision-support tool without changing usual care. Data will inform future development of AI tools to assist intraoperative decision-making in emergency colorectal surgery. No experimental treatments are administered as part of the study.
Why it matters
Potential benefit: If successful, the study could pave the way for AI-supported guidance to help surgeons choose the most appropriate operative approach in emergency diverticulitis.
How similar studies have gone: Similar observational efforts have begun to build multimodal datasets for surgical decision-making, with emerging interest in AI-assisted intraoperative support.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 years or older * Diagnosis of acute complicated diverticulitis requiring non-elective operative management * Emergency or urgent surgery for complicated diverticulitis, including surgery after failure of non-operative management * Minimally invasive approach: laparoscopic/robotic surgery * Patients undergoing sigmoid resection with primary anastomosis, Hartmann's procedure, or other operative strategy according to local practice * Availability of clinical and operative data * Local ethical approval, authorization, or waiver according to national and institutional regulations Exclusion Criteria: * Age younger than 18 years * Elective surgery for diverticular disease * Uncomplicated diverticulitis managed non-operatively * Surgery performed for conditions not related to diverticulitis * Surgical procedures performed via primary open approach (i.e., no attempt at minimally invasive surgery), unless converted intraoperatively. * Lack of required consent or authorization for data use, when required by local regulations
Where it's running
-
IRCCS San Raffaele Roma
Roma, Rm, Italy Recruiting -
eCampus university
Novedrate, Como, Italy Enrolling by invitation
Study contacts
- Study coordinator: Belinda De Simone, MD
- Email: ariesproject2023@gmail.com
- Phone: +33665787872
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Comparing non-operative management of acute diverticulitis in medical vs surgical wards
This study looks at how well non-surgical treatment for acute diverticulitis works for patients in medical versus surgical hospital wards.
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Evaluating surgical options for treating peritonitis from perforated diverticulitis
This study is testing two different surgical methods for treating peritonitis caused by perforated diverticulitis to see which one helps patients recover better.
-
Comparing vacuum assisted closure and on-demand relaparotomy for fecal peritonitis
This study is testing whether using vacuum assisted closure or doing surgery as needed is better for patients with fecal peritonitis in terms of recovery and complications.
-
International registry for emergency surgery and trauma
This study is setting up a worldwide registry for emergency surgeries and trauma cases to help doctors track their results and find better ways to treat patients.
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Personalized treatment with Pentaglobin® for patients with peritonitis after surgery
This study is testing if adding Pentaglobin® to standard care can help patients recover better from peritonitis after surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.