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

被引:14
|
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
收藏
页码:153 / 169
页数:17
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