Management of inflammatory bowel disease in the emergency setting: the MIBODI international survey and evidence-based practices.

Autor: De Simone B; Department of Emergency Minimally Invasive and Geriatric Surgery, Academic Hospital of Villeneuve St Georges, Villeneuve St Georges, France. desimone.belinda@gmail.com.; Department of Digestive and Emergency Surgery, Infermi Hospital, AUSL Romagna, Rimini, Italy. desimone.belinda@gmail.com., Davies J; Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK., Abu-Zidan FM; The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates., Sartelli M; Department of General Surgery, Macerata Hospital, Macerata, Italy., Pellino G; Vall d'Hebron University , Colorectal Surgery, Hospital, UniversitatAutonoma de Barcelona UAB, Barcelona, Spain.; Department of Advanced Medical and Surgical Sciences, Università Degli Studi Della Campania 'Luigi Vanvitelli', Naples, Italy., Deeken G; Center for Research in Epidemiology and Statistics (CRESS), Université Paris Cité, Paris, France., Biffl WL; Department of Trauma and Emergency Surgery, Scripps Clinic, La Jolla, San Diego, USA., De'Angelis N; Colorectal and Digestive Surgery Unit - DIGEST Department, Beaujon University Hospital (AP-HP), Clichy, France., Moore EE; Trauma Center at Denver Health, Denver, CO, USA., Coimbra R; CECORC Research Center, Riverside University Health System, Loma Linda University, Loma Linda, USA., Group MC, Catena F; Department of General Surgery, Level I Trauma Center, Bufalini Hospital, AUSL Romagna, Cesena, Italy.
Jazyk: angličtina
Zdroj: European journal of trauma and emergency surgery : official publication of the European Trauma Society [Eur J Trauma Emerg Surg] 2024 May 02. Date of Electronic Publication: 2024 May 02.
DOI: 10.1007/s00068-024-02526-7
Abstrakt: Aim: 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).
Methods: 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.
Results: 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%.
Conclusions: 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.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
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