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

  • De Simone, Belinda1
  • Davies, Justin2
  • Chouillard, Elie1
  • Di Saverio, Salomone3
  • Hoentjen, Frank4
  • Tarasconi, Antonio5
  • Sartelli, Massimo6
  • Biffl, Walter L.7
  • Ansaloni, Luca8
  • Coccolini, Federico9
  • Chiarugi, Massimo9
  • De’Angelis, Nicola10
  • Moore, Ernest E.11
  • Kluger, Yoram12
  • Abu-Zidan, Fikri13
  • Sakakushev, Boris14
  • Coimbra, Raul15
  • Celentano, Valerio16
  • Wani, Imtiaz17
  • Pintar, Tadeja18
  • And 13 more
  • 1 Centre Hospitalier Intercommunal de Poissy et Saint Germain en Laye, 10 rue du Champ Gaillard, Poissy, 78303, France , Poissy (France)
  • 2 Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK , Cambridge (United Kingdom)
  • 3 University of Insubria, University Hospital of Varese, ASST Sette Laghi, Regione Lombardia, Varese, Italy , Varese (Italy)
  • 4 Radboud University-Nijmegen Medical Center, Nijmegen, The Netherlands , Nijmegen (Netherlands)
  • 5 Parma University Hospital, Parma, Italy , Parma (Italy)
  • 6 Macerata Hospital, Macerata, Italy , Macerata (Italy)
  • 7 Scripps Memorial Hospital La Jolla, San Diego, California, USA , San Diego (United States)
  • 8 University Hospital of Pavia, Pavia, Italy , Pavia (Italy)
  • 9 University Hospital of Pisa, Pisa, Italy , Pisa (Italy)
  • 10 Regional General Hospital F. Miulli, Acquaviva delle Fonti (Bari), Italy , Acquaviva delle Fonti (Bari) (Italy)
  • 11 Denver Health System - Denver Health Medical Center, Denver, USA , Denver (United States)
  • 12 Rambam Health Care Campus, Haifa, Israel , Haifa (Israel)
  • 13 United Arab Emirates University, Al-Ain, United Arab Emirates , Al-Ain (United Arab Emirates)
  • 14 University Hospital St George, Plovdiv, Bulgaria , Plovdiv (Bulgaria)
  • 15 UCSD Health System - Hillcrest Campus Department of Surgery Chief Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, San Diego, CA, USA , San Diego (United States)
  • 16 Portsmouth Hospitals NHS Trust, Hampshire, UK , Hampshire (United Kingdom)
  • 17 Directorate of Health Services-Kashmir, Srinagar, Kashmir, India , Srinagar (India)
  • 18 Umc Ljubljana, Ljubljana, Slovenia , Ljubljana (Slovenia)
  • 19 Catholic University of Rome, Rome, Italy , Rome (Italy)
  • 20 University of Catania, General Surgery, Cannizzaro Hospital, Catania, Italy , Catania (Italy)
  • 21 University of Pisa, Pisa, Italy , Pisa (Italy)
  • 22 National & Kapodistrian University of Athens (NKUA), Athens, Greece , Athens (Greece)
  • 23 Sapienza University, Rome, Italy , Rome (Italy)
  • 24 Medical College of Wisconsin/Froedtert Trauma Center, Wauwatosa, Wisconsin, USA , Wauwatosa (United States)
  • 25 University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland , Helsinki (Finland)
  • 26 General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery Foothills Medical Centre, Calgary, Alberta, Canada , Calgary (Canada)
  • 27 Bufalini Hospital, Cesena, Italy , Cesena (Italy)
  • 28 Policlinico Sant’Orsola Malpighi, Bologna, Italy , Bologna (Italy)
  • 29 University Hospital of Ferrara, Ferrara, Italy , Ferrara (Italy)
  • 30 University of Brescia, Brescia, Italy , Brescia (Italy)
Published Article
World Journal of Emergency Surgery
Springer (Biomed Central Ltd.)
Publication Date
May 11, 2021
DOI: 10.1186/s13017-021-00362-3
Springer Nature


BackgroundDespite 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.MethodA 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.ConclusionsComplicated 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.

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