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
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