ECCO Topical Review: Roadmap to optimal peri-operative care in IBD.


Por: Sebastian S, Segal JP, Hedin C, Pellino G, Kotze PG, Adamina M, Campmans-Kuijpers M, Davies J, de Vries AC, Gutiérrez Casbas A, El-Hussuna A, Juillerat P, Meade S, Millán M and Spinelli A

Publicada: 18 mar 2023 Ahead of Print: 2 sep 2022
Resumen:
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 optimise outcomes of IBD patients who undergo surgery. METHODS: A multidisciplinary panel of IBD health care 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.

Filiaciones:
Sebastian S:
 IBD Unit, Hull University Teaching Hospitals, Hull, United Kingdom

 Hull York Medical School, University of Hull, Hull, United Kingdom

Segal JP:
 Northern Hospital Epping, Melbourne, Australia

 University of Melbourne, Parkville, Melbourne, Australia

Hedin C:
 Karolinska Institutet, Department of Medicine, Solna, Stockholm, Sweden

 Karolinska University Hospital, Gastroenterology Unit, Department of Gastroenterology, Dermatovenereology and Rheumatology, Stockholm, Sweden

Pellino G:
 Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy

Kotze PG:
 Colorectal Surgery Unit, Pontificia Universidade Católica do Paraná [PUCPR], Curitiba, Brazil

Adamina M:
 Department of Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland

 Faculty of Medicine, University of Basel, Basel, Switzerland

Campmans-Kuijpers M:
 Department of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands

Davies J:
 Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

de Vries AC:
 Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands

:
 Gastroenterology Department, Hospital General Universitario de Alicante, ISABIAL and CIBERehd, Alicante, Spain

El-Hussuna A:
 OpenSourceResearch organisation (osrc.network), Aalborg, Denmark

Juillerat P:
 Clinic for Visceral Surgery and Medicine, Inselspital, University Hospital of Bern, Bern, Switzerland

Meade S:
 Department of Gastroenterology, Guy's and Saint Thomas' Hospitals NHS Trust, London, United Kingdom

Millán M:
 General Surgery, Colorectal Unit, Hospital Universitari i Politecnic La Fe, Valencia, Spain

Spinelli A:
 Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy

 IRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Milan, Italy
ISSN: 18739946
Editorial
OXFORD UNIV PRESS, GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND, Países Bajos
Tipo de documento: Article
Volumen: 17 Número: 2
Páginas: 153-169
WOS Id: 000885670000001
ID de PubMed: 36055337

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