World Journal of Emergency Surgery (May 2021)
WSES-AAST guidelines: management of inflammatory bowel disease in the emergency setting
- Belinda De Simone,
- Justin Davies,
- Elie Chouillard,
- Salomone Di Saverio,
- Frank Hoentjen,
- Antonio Tarasconi,
- Massimo Sartelli,
- Walter L. Biffl,
- Luca Ansaloni,
- Federico Coccolini,
- Massimo Chiarugi,
- Nicola De’Angelis,
- Ernest E. Moore,
- Yoram Kluger,
- Fikri Abu-Zidan,
- Boris Sakakushev,
- Raul Coimbra,
- Valerio Celentano,
- Imtiaz Wani,
- Tadeja Pintar,
- Gabriele Sganga,
- Isidoro Di Carlo,
- Dario Tartaglia,
- Manos Pikoulis,
- Maurizio Cardi,
- Marc A. De Moya,
- Ari Leppaniemi,
- Andrew Kirkpatrick,
- Vanni Agnoletti,
- Gilberto Poggioli,
- Paolo Carcoforo,
- Gian Luca Baiocchi,
- Fausto Catena
Affiliations
- Belinda De Simone
- Department of Metabolic, Digestive and Emergency Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy et Saint Germain en Laye
- Justin Davies
- Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
- Elie Chouillard
- Department of Metabolic, Digestive and Emergency Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy et Saint Germain en Laye
- Salomone Di Saverio
- Department of General Surgery, University of Insubria, University Hospital of Varese
- Frank Hoentjen
- RIMLS - Radboud Institute for Molecular Life Sciences, Radboud University-Nijmegen Medical Center
- Antonio Tarasconi
- Department of Trauma and Emergency Surgery, Parma University Hospital
- Massimo Sartelli
- Department of General Surgery, Macerata Hospital
- Walter L. Biffl
- Scripps Memorial Hospital La Jolla
- Luca Ansaloni
- Department of Surgery, University Hospital of Pavia
- Federico Coccolini
- Department of Emergency and Trauma Surgery, University Hospital of Pisa
- Massimo Chiarugi
- Department of Emergency and Trauma Surgery, University Hospital of Pisa
- Nicola De’Angelis
- Minimally Invasive and Robotic Digestive Surgery Unit, Regional General Hospital F. Miulli
- Ernest E. Moore
- Denver Health System - Denver Health Medical Center
- Yoram Kluger
- Division of General Surgery, Rambam Health Care Campus
- Fikri Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University
- Boris Sakakushev
- First Clinic of General Surgery, University Hospital St George
- Raul Coimbra
- UCSD Health System - Hillcrest Campus Department of Surgery Chief Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery
- Valerio Celentano
- Department of Colorectal Surgery, Portsmouth Hospitals NHS Trust
- Imtiaz Wani
- Government Gousia Hospital-Srinagar, Directorate of Health Services-Kashmir
- Tadeja Pintar
- Department of Abdominal Surgery, Umc Ljubljana
- Gabriele Sganga
- Department of Emergency Surgery, “A. Gemelli Hospital”, Catholic University of Rome
- Isidoro Di Carlo
- Department of Surgical Sciences and Advanced Technologies, University of Catania, General Surgery, Cannizzaro Hospital
- Dario Tartaglia
- Emergency Surgery Unit & Trauma Center, New Santa Chiara Hospital, University of Pisa
- Manos Pikoulis
- 3rd Department of Surgery, Attikon General Hospital, National & Kapodistrian University of Athens (NKUA)
- Maurizio Cardi
- Department of Oncological Surgery “P.Valdoni”, Sapienza University
- Marc A. De Moya
- Trauma/Acute Care Surgery Department, Medical College of Wisconsin/Froedtert Trauma Center
- Ari Leppaniemi
- Department of Abdominal Surgery, Abdominal Center, University of Helsinki and Helsinki University Central Hospital
- Andrew Kirkpatrick
- General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery Foothills Medical Centre
- Vanni Agnoletti
- ICU Department, Bufalini Hospital
- Gilberto Poggioli
- Department of Surgical Sciences, Policlinico Sant’Orsola Malpighi
- Paolo Carcoforo
- Department of Surgery, University Hospital of Ferrara
- Gian Luca Baiocchi
- Department of Surgery, University of Brescia
- Fausto Catena
- Department of Trauma and Emergency Surgery, Parma University Hospital
- DOI
- https://doi.org/10.1186/s13017-021-00362-3
- Journal volume & issue
-
Vol. 16,
no. 1
pp. 1 – 27
Abstract
Abstract 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.
Keywords
- Inflammatory bowel disease
- Crohn’s disease
- Ulcerative colitis
- Emergency surgery
- Perianal sepsis
- Toxic megacolon
