De Simone Belinda, Davies Justin, Abu-Zidan Fikri M, Sartelli Massimo, Pellino Gianluca, Deeken Genevieve, Biffl Walter L, De'Angelis Nicola, Moore Ernest E, Coimbra Raul, Group Mibodi Collaborative, Catena Fausto
Department of Emergency Minimally Invasive and Geriatric Surgery, Academic Hospital of Villeneuve St Georges, Villeneuve St Georges, France.
Department of Digestive and Emergency Surgery, Infermi Hospital, AUSL Romagna, Rimini, Italy.
Eur J Trauma Emerg Surg. 2024 Dec;50(6):3251-3272. doi: 10.1007/s00068-024-02526-7. Epub 2024 May 2.
This study aimed to evaluate the impact of the WSES-AAST guidelines in clinical practice and to investigate the knowledge, attitudes, and practices of emergency surgeons in managing the complications of ulcerative colitis (UC) and Crohn's disease (CD).
The MIBODI survey is a cross-sectional study among WSES members designed as an international web-based survey, according to the Checklist for Reporting Results of Internet E-Surveys, to collect data on emergency surgeons' knowledge, attitudes, and practices concerning the management of patients presenting with acute complications of CD and UC. The questionnaire was composed of 30 questions divided into five sections: (1) demographic data, (2) primary evaluation, (3) non-operative management, (4) operative management, and (5) perianal sepsis management.
Two hundred and forty-two surgeons from 48 countries agreed to participate in the survey. The response rate was 24.2% (242/1000 members on WSES mail list). Emergency surgeons showed high adherence to recommendations for 6 of the 21 assessed items, with a "correct" response rate greater than or equal to 60%, according to WSES-AAST recommendations. Nine critical issues were highlighted, with correct answers at a rate of less than 50%.
Inflammatory bowel disease is a complex disease that requires a multidisciplinary approach with close collaboration between gastroenterologists and surgeons. Emergency surgeons play a crucial role in managing complications related to IBD. One year after publication, the MIBODI study showed significant global implementation of the WSES-AAST guidelines in clinical practice, offering an imperative tool in the improved management of IBD in emergency and urgent settings.
本研究旨在评估WSES-AAST指南在临床实践中的影响，并调查急诊外科医生在处理溃疡性结肠炎（UC）和克罗恩病（CD）并发症方面的知识、态度和实践情况。
MIBODI调查是一项针对WSES成员的横断面研究，根据互联网电子调查结果报告清单设计为一项基于网络的国际调查，以收集急诊外科医生关于CD和UC急性并发症患者管理的知识、态度和实践数据。问卷由30个问题组成，分为五个部分：（1）人口统计学数据，（2）初步评估，（3）非手术管理，（4）手术管理，（5）肛周脓毒症管理。
来自48个国家的242名外科医生同意参与调查。回复率为24.2%（242/1000名WSES邮件列表中的成员）。根据WSES-AAST建议，急诊外科医生对21项评估项目中的6项建议表现出高度依从性，“正确”回复率大于或等于60%。突出了9个关键问题，正确答案率低于50%。
炎症性肠病是一种复杂的疾病，需要胃肠病学家和外科医生密切合作的多学科方法。急诊外科医生在处理与IBD相关的并发症方面发挥着关键作用。在指南发布一年后，MIBODI研究表明WSES-AAST指南在临床实践中得到了显著的全球实施，为改善急诊和紧急情况下IBD的管理提供了一个重要工具。
