Clinical trial Recruiting at 1 site Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment150 (estimated)
SponsorIRCCS San Raffaele Roma
Academic / other
Locations2 sites (Novedrate, Como and 1 other locations)
StatusRecruiting
StartedMay 15, 2026
Main results expectedDecember 31, 2029
Study endsDecember 31, 2029
Registry record updatedNovember 6, 2026
Trial IDNCT07651072 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.