WSES-AAST guidelines: management of inflammatory bowel disease in the emergency setting

被引：36

作者：

De Simone, Belinda ^{[1
]}

Davies, Justin ^{[2
]}

Chouillard, Elie ^{[1
]}

Di Saverio, Salomone ^{[3
]}

Hoentjen, Frank ^{[4
]}

Tarasconi, Antonio ^{[5
]}

Sartelli, Massimo ^{[6
]}

Biffl, Walter L. ^{[7
]}

Ansaloni, Luca ^{[8
]}

Coccolini, Federico ^{[9
]}

Chiarugi, Massimo ^{[9
]}

De'Angelis, Nicola ^{[10
]}

Moore, Ernest E. ^{[11
]}

Kluger, Yoram ^{[12
]}

Abu-Zidan, Fikri ^{[13
]}

Sakakushev, Boris ^{[14
]}

Coimbra, Raul ^{[15
]}

Celentano, Valerio ^{[16
]}

Wani, Imtiaz ^{[17
]}

Pintar, Tadeja ^{[18
]}

Sganga, Gabriele ^{[19
]}

Di Carlo, Isidoro ^{[20
]}

Tartaglia, Dario ^{[21
,22
]}

Pikoulis, Manos ^{[23
]}

Cardi, Maurizio ^{[24
]}

De Moya, Marc A. ^{[25
]}

Leppaniemi, Ari ^{[26
,27
]}

Kirkpatrick, Andrew ^{[28
]}

Agnoletti, Vanni ^{[29
]}

Poggioli, Gilberto ^{[30
]}

Carcoforo, Paolo ^{[31
]}

Baiocchi, Gian Luca ^{[32
]}

Catena, Fausto ^{[5
]}

机构：

[1] Ctr Hosp Intercommunal Poissy & St Germain Laye, Dept Metab Digest & Emergency Minimally Invas Sur, 10 Rue Champ Gaillard, F-78303 Poissy, France

[2] Cambridge Univ Hosp NHS Fdn Trust, Addenbrookes Hosp, Cambridge, England

[3] Univ Insubria, Univ Hosp Varese, Dept Gen Surg, ASST Sette Laghi, Regione Lombardia, Varese, Italy

[4] Radboud Univ Nijmegen, RIMLS Radboud Inst Mol Life Sci, Med Ctr, Nijmegen, Netherlands

[5] Parma Univ Hosp, Dept Trauma & Emergency Surg, Parma, Italy

[6] Macerata Hosp, Dept Gen Surg, Macerata, Italy

[7] Scripps Mem Hosp La Jolla, San Diego, CA USA

[8] Univ Hosp Pavia, Dept Surg, Pavia, Italy

[9] Univ Hosp Pisa, Dept Emergency & Trauma Surg, Pisa, Italy

[10] Reg Gen Hosp F Miulli, Minimally Invas & Robot Digest Surg Unit, Bari, Italy

[11] Denver Hlth Syst, Denver Hlth Med Ctr, Denver, CO USA

[12] Rambam Hlth Care Campus, Div Gen Surg, Haifa, Israel

[13] United Arab Emirates Univ, Coll Med & Hlth Sci, Dept Surg, Al Ain, U Arab Emirates

[14] Univ Hosp St George, Clin Gen Surg 1, Plovdiv, Bulgaria

[15] UCSD Hlth Syst Hillcrest Campus, Dept Surg, Chief Div Trauma Surg Crit Care Burns & Acute Car, San Diego, CA USA

[16] Portsmouth Hosp NHS Trust, Dept Colorectal Surg, Portsmouth, Hants, England

[17] Govt Gousia Hosp Srinagar, Directorate Hlth Serv Kashmir, Srinagar, Kashmir, India

[18] Umc Ljubljana, Dept Abdominal Surg, Ljubljana, Slovenia

[19] Univ Cattolica Sacro Cuore, A Gemelli Hosp, Dept Emergency Surg, Rome, Italy

[20] Univ Catania, Cannizzaro Hosp, Dept Surg Sci & Adv Technol, Gen Surg, Catania, Italy

[21] Univ Pisa, New Santa Chiara Hosp, Emergency Surg Unit, Pisa, Italy

[22] Univ Pisa, New Santa Chiara Hosp, Ctr Trauma, Pisa, Italy

[23] Natl & Kapodistrian Univ Athens NKUA, Attikon Gen Hosp, Dept Surg 3, Athens, Greece

[24] Sapienza Univ, Dept Oncol Surg P Valdoni, Rome, Italy

[25] Med Coll Wisconsin, Trauma Acute Care Surg Dept, Froedtert Trauma Ctr, Wauwatosa, WI USA

[26] Univ Helsinki, Abdominal Ctr, Dept Abdominal Surg, Helsinki, Finland

[27] Univ Helsinki, Cent Hosp, Helsinki, Finland

[28] Foothills Med Ctr, Gen Acute Care Abdominal Wall Reconstruct & Traum, Calgary, AB, Canada

[29] Bufalini Hosp, ICU Dept, Cesena, Italy

[30] Policlin St Orsola Malpighi, Dept Surg Sci, Bologna, Italy

[31] Univ Hosp Ferrara, Dept Surg, Ferrara, Italy

[32] Univ Brescia, Dept Surg, Brescia, Italy

来源：

WORLD JOURNAL OF EMERGENCY SURGERY | 2021年 / 16卷 / 01期

关键词：

Inflammatory bowel disease; Crohn’ s disease; Ulcerative colitis; Emergency surgery; Perianal sepsis; Toxic megacolon; Peritonitis; Perforation; Percutaneous drainage; Abscess; SILS; Laparoscopy; Damage control surgery; Open abdomen; SEVERE ULCERATIVE-COLITIS; EVIDENCE-BASED CONSENSUS; CROHNS-DISEASE; SURGICAL-MANAGEMENT; FECAL CALPROTECTIN; BALLOON DILATION; TOXIC MEGACOLON; INCREASED RISK; GREAT-BRITAIN; SURGERY;

D O I：

10.1186/s13017-021-00362-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background Despite the current therapeutic options for the treatment of inflammatory bowel disease, surgery is still frequently required in the emergency setting, although the number of cases performed seems to have decreased in recent years. The World Society of Emergency Surgery decided to debate in a consensus conference of experts, the main pertinent issues around the management of inflammatory bowel disease in the emergent situation, with the need to provide focused guidelines for acute care and emergency surgeons. Method A group of experienced surgeons and gastroenterologists were nominated to develop the topics assigned and answer the questions addressed by the Steering Committee of the project. Each expert followed a precise analysis and grading of the studies selected for review. Statements and recommendations were discussed and voted at the Consensus Conference of the 6th World Society of Emergency Surgery held in Nijmegen (The Netherlands) in June 2019. Conclusions Complicated inflammatory bowel disease requires a multidisciplinary approach because of the complexity of this patient group and disease spectrum in the emergency setting, with the aim of obtaining safe surgery with good functional outcomes and a decreasing stoma rate where appropriate.

引用

页数：27

共 117 条

[1] Treatment of Nonvariceal Gastrointestinal Hemorrhage by Transcatheter Embolization [J].