ECCO专题综述：炎症性肠病围手术期最佳护理路线图
ECCO Topical Review: Roadmap to Optimal Peri-Operative Care in IBD.
作者信息
Sebastian Shaji, Segal Jonathan P, Hedin Charlotte, Pellino Gianluca, Kotze Paulo Gustavo, Adamina Michel, Campmans-Kuijpers Marjo, Davies Justin, de Vries Annemarie C, Casbas Ana Gutiérrez, El-Hussuna Alaa, Juillerat Pascal, Meade Susanna, Millán Monica, Spinelli Antonino
机构信息
IBD Unit, Hull University Teaching Hospitals, Hull, UK.
Hull York Medical School, University of Hull, Hull, UK.
出版信息
J Crohns Colitis. 2023 Mar 18;17(2):153-169. doi: 10.1093/ecco-jcc/jjac129.
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.
背景与目的
尽管医学治疗取得了进展，但仍有相当一部分炎症性肠病（IBD）患者需要手术干预。本专题综述旨在提供围手术期护理的专家共识实践建议，以优化接受手术的IBD患者的治疗效果。
方法
一个由IBD医疗服务提供者组成的多学科小组系统地回顾了与IBD围手术期护理相关的各个方面。使用德尔菲法制定了共识声明。
结果
在对当前文献进行系统综述后，共制定了20个当前实践立场，内容涵盖围手术期用药、营养评估与干预、身体和心理康复及术前康复以及术后即刻护理。
结论
围手术期规划和患者优化对于确保良好预后和降低发病率至关重要。本专题综述提供了适用于接受手术的IBD患者围手术期的实践建议。
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