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ECCO Topical Review: Roadmap to Optimal Peri-Operative Care in IBD

  • Shaji Sebastian*
  • , Jonathan P. Segal
  • , Charlotte Hedin
  • , Gianluca Pellino
  • , Paulo Gustavo Kotze
  • , Michel Adamina
  • , Marjo Campmans-Kuijpers
  • , Justin Davies
  • , Annemarie C. de Vries
  • , Ana Gutiérrez Casbas
  • , Alaa El-Hussuna
  • , Pascal Juillerat
  • , Susanna Meade
  • , Monica Millán
  • , Antonino Spinelli
  • *Corresponding author for this work
  • Hull University Teaching Hospitals NHS Trust
  • Hull York Medical School
  • Northern Health
  • University of Melbourne
  • Karolinska Institutet
  • Karolinska University Hospital
  • University of Campania Luigi Vanvitelli
  • Universidade Federal do Paraná
  • Cantonal Hospital Winterthur
  • University of Basel
  • University Medical Centre Groningen
  • Addenbrooke's Hospital
  • Hospital General Universitario de Alicante
  • OpenSourceResearch organisation (osrc.network)
  • University Hospital Bern
  • Guy's and St Thomas' NHS Foundation Trust
  • Hospital Universitario La Fe
  • Humanitas University
  • IRCCS Istituto Clinico Humanitas - Rozzano (Milano)

Research output: Contribution to journalArticleAcademicpeer-review

26 Citations (Scopus)
82 Downloads (Pure)

Abstract

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.

Original languageEnglish
Pages (from-to)153-169
Number of pages17
JournalJournal of Crohn's & colitis
Volume17
Issue number2
DOIs
Publication statusPublished - Feb 2023

Bibliographical note

Funding:
This work was supported by the European Crohn’s and
Colitis Organisation.

Publisher Copyright:
© The Author(s) 2022. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation. All rights reserved. For permissions, please email: [email protected].

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