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

Autor: Sebastian S; IBD Unit, Hull University Teaching Hospitals, Hull, UK.; Hull York Medical School, University of Hull, Hull, UK., Segal JP; Northern Hospital Epping, Melbourne, Australia.; University of Melbourne, Parkville, Melbourne, Australia., Hedin C; Department of Medicine, Karolinska Institutet, Solna, Stockholm, Sweden.; Gastroenterology Unit, Department of Gastroenterology, Dermatovenereology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden., Pellino G; Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy., Kotze PG; Colorectal Surgery Unit, Pontificia Universidade Católica do Paraná [PUCPR], Curitiba, Brazil., Adamina M; Department of Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland.; Faculty of Medicine, University of Basel, Basel, Switzerland., Campmans-Kuijpers M; Department of Gastroenterology and Hepatology, University Medical Centre Groningen, Groningen, the Netherlands., Davies J; Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK., de Vries AC; Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands., Casbas AG; Gastroenterology Department, Hospital General Universitario de Alicante, ISABIAL and CIBERehd, Alicante, Spain., El-Hussuna A; OpenSourceResearch organisation (osrc.network), Aalborg, Denmark., Juillerat P; Clinic for Visceral Surgery and Medicine, Inselspital, University Hospital of Bern, Bern, Switzerland., Meade S; Department of Gastroenterology, Guy's and Saint Thomas' Hospitals NHS Trust, London, UK., Millán M; General Surgery, Colorectal Unit, Hospital Universitari i Politecnic La Fe, Valencia, Spain., Spinelli A; Department of Biomedical Sciences, Humanitas University, Milan, Italy.; IRCCS Humanitas Research Hospital, Milan, Italy.
Jazyk: angličtina
Zdroj: Journal of Crohn's & colitis [J Crohns Colitis] 2023 Mar 18; Vol. 17 (2), pp. 153-169.
DOI: 10.1093/ecco-jcc/jjac129
Abstrakt: 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.
(© 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: journals.permissions@oup.com.)
Databáze: MEDLINE
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