WSES-AAST指南：炎症性肠病在急诊环境中的管理
WSES-AAST guidelines: management of inflammatory bowel disease in the emergency setting.
作者信息
De Simone Belinda, Davies Justin, Chouillard Elie, Di Saverio Salomone, Hoentjen Frank, Tarasconi Antonio, Sartelli Massimo, Biffl Walter L, Ansaloni Luca, Coccolini Federico, Chiarugi Massimo, De'Angelis Nicola, Moore Ernest E, Kluger Yoram, Abu-Zidan Fikri, Sakakushev Boris, Coimbra Raul, Celentano Valerio, Wani Imtiaz, Pintar Tadeja, Sganga Gabriele, Di Carlo Isidoro, Tartaglia Dario, Pikoulis Manos, Cardi Maurizio, De Moya Marc A, Leppaniemi Ari, Kirkpatrick Andrew, Agnoletti Vanni, Poggioli Gilberto, Carcoforo Paolo, Baiocchi Gian Luca, Catena Fausto
机构信息
Department of Metabolic, Digestive and Emergency Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy et Saint Germain en Laye, 10 rue du Champ Gaillard, 78303, Poissy, France.
Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
出版信息
World J Emerg Surg. 2021 May 11;16(1):23. doi: 10.1186/s13017-021-00362-3.
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.
背景
尽管目前有多种治疗炎症性肠病的方法，但在紧急情况下仍经常需要进行手术，尽管近年来手术例数似乎有所减少。世界急诊外科学会决定在一次专家共识会议上讨论炎症性肠病紧急处理中的主要相关问题，以便为急症护理和急诊外科医生提供针对性的指南。
方法
一组经验丰富的外科医生和胃肠病学家被提名，负责拟定分配的主题并回答项目指导委员会提出的问题。每位专家对选定用于综述的研究进行了精确的分析和分级。在2019年6月于荷兰奈梅亨举行的第六届世界急诊外科学会共识会议上，对各项声明和建议进行了讨论和表决。
结论
由于急诊情况下该患者群体和疾病谱的复杂性，复杂的炎症性肠病需要多学科方法，目标是实现安全手术，获得良好的功能结局，并在适当情况下降低造口率。
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