ECCO Topical Review: Roadmap to Optimal Peri-Operative Care in IBD

被引：16

作者：

Sebastian, Shaji ^{[1
,2
]}

Segal, Jonathan P. ^{[3
,4
]}

Hedin, Charlotte ^{[5
,6
]}

Pellino, Gianluca ^{[7
]}

Kotze, Paulo Gustavo ^{[8
]}

Adamina, Michel ^{[9
,10
]}

Campmans-Kuijpers, Marjo ^{[11
]}

Davies, Justin ^{[12
]}

de Vries, Annemarie C. ^{[13
]}

Casbas, Ana Gutierrez ^{[14
,15
]}

El-Hussuna, Alaa ^{[16
]}

Juillerat, Pascal ^{[17
]}

Meade, Susanna ^{[18
]}

Millan, Monica ^{[19
]}

Spinelli, Antonino ^{[20
,21
]}

机构：

[1] Hull Univ Teaching Hosp, IBD Unit, Kingston Upon Hull HU3 2JZ, N Humberside, England

[2] Univ Hull, Hull York Med Sch, Kingston Upon Hull, N Humberside, England

[3] Northern Hosp Epping, Melbourne, Vic, Australia

[4] Univ Melbourne, Melbourne, Vic, Australia

[5] Karolinska Inst, Dept Med, Stockholm, Sweden

[6] Karolinska Univ Hosp, Dept Gastroenterol Dermatovenereol & Rheumatol, Gastroenterol Unit, Stockholm, Sweden

[7] Univ Campania Luigi Vanvitelli, Dept Adv Med & Surg Sci, Naples, Italy

[8] Pontificia Univ Catolica Parana PUCPR, Colorectal Surg Unit, Curitiba, Parana, Brazil

[9] Cantonal Hosp Winterthur, Dept Surg, Winterthur, Switzerland

[10] Univ Basel, Fac Med, Basel, Switzerland

[11] Univ Med Ctr Groningen, Dept Gastroenterol & Hepatol, Groningen, Netherlands

[12] Cambridge Univ Hosp NHS Fdn Trust, Addenbrookes Hosp, Cambridge Colorectal Unit, Cambridge, England

[13] Erasmus MC Univ Med Ctr Rotterdam, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands

[14] Hosp Gen Univ Alicante, Gastroenterol Dept, ISABIAL, Alicante, Spain

[15] CIBERehd, Alicante, Spain

[16] OpenSourceRes Org Osrc Network, Aalborg, Denmark

[17] Univ Hosp Bern, Inselspital, Clin Visceral Surg & Med, Bern, Switzerland

[18] Guys & St Thomas Hosp NHS Trust, Dept Gastroenterol, London, England

[19] Hosp Univ & Politecn La Fe, Colorectal Unit, Gen Surg, Valencia, Spain

[20] Humanitas Univ, Dept Biomed Sci, Milan, Italy

[21] IRCCS, Humanitas Res Hosp, Milan, Italy

来源：

JOURNAL OF CROHNS & COLITIS | 2023年 / 17卷 / 02期

关键词：

IBD; Surgery; Peri-operative care; INFLAMMATORY-BOWEL-DISEASE; EXCLUSIVE ENTERAL NUTRITION; QUALITY-OF-LIFE; INTRAABDOMINAL SEPTIC COMPLICATIONS; EARLY POSTOPERATIVE COMPLICATIONS; GUIDELINE CLINICAL NUTRITION; SURGICAL SITE INFECTIONS; CROHNS-DISEASE; ULCERATIVE-COLITIS; RISK-FACTORS;

D O I：

10.1093/ecco-jcc/jjac129

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and aims Despite the advances in medical therapies, a significant proportion of patients with inflammatory bowel diseases [IBD] require surgical intervention. This Topical Review aims to offer expert consensus practice recommendations for peri-operative care to optimize outcomes of IBD patients who undergo surgery. Methods A multidisciplinary panel of IBD healthcare providers systematically reviewed aspects relevant to peri-operative care in IBD. Consensus statements were developed using Delphi methodology. Results A total of 20 current practice positions were developed following systematic review of the current literature covering use of medication in the peri-operative period, nutritional assessment and intervention, physical and psychological rehabilitation and prehabilitation, and immediate postoperative care. Conclusion Peri-operative planning and optimization of the patient are imperative to ensure favourable outcomes and reduced morbidity. This Topical Review provides practice recommendations applicable in the peri-operative period in IBD patients undergoing surgery.

引用

页码：153 / 169

页数：17

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