Anorectal emergencies: WSES-AAST guidelines

Autor: Tarasconi, Antonio Perrone, Gennaro Davies, Justin Coimbra, Raul Moore, Ernest Azzaroli, Francesco Abongwa, Hariscine and De Simone, Belinda Gallo, Gaetano Rossi, Giorgio and Abu-Zidan, Fikri Agnoletti, Vanni De'Angelis, Gianluigi and De'Angelis, Nicola Ansaloni, Luca Baiocchi, Gian Luca and Carcoforo, Paolo Ceresoli, Marco Chichom-Mefire, Alain Di Saverio, Salomone Gaiani, Federica Giuffrida, Mario Hecker, Andreas Inaba, Kenji Kelly, Michael Kirkpatrick, Andrew and Kluger, Yoram Leppaniemi, Ari Litvin, Andrey Ordonez, Carlos and Pattonieri, Vittoria Peitzman, Andrew Pikoulis, Manos and Sakakushev, Boris Sartelli, Massimo Shelat, Vishal Tan, Edward Testini, Mario Velmahos, George Wani, Imtiaz and Weber, Dieter Biffl, Walter Coccolini, Federico Catena, Fausto
Jazyk: angličtina
Rok vydání: 2021
Popis: Anorectal emergencies comprise a wide variety of diseases that share common symptoms, i.e., anorectal pain or bleeding and might require immediate management. While most of the underlying conditions do not need inpatient management, some of them could be life-threatening and need prompt recognition and treatment. It is well known that an incorrect diagnosis is frequent for anorectal diseases and that a delayed diagnosis is related to an impaired outcome. This paper aims to improve the knowledge and the awareness on this specific topic and to provide a useful tool for every physician dealing with anorectal emergencies. The present guidelines have been developed according to the GRADE methodology. To create these guidelines, a panel of experts was designed and charged by the boards of the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) to perform a systematic review of the available literature and to provide evidence-based statements with immediate practical application. All the statements were presented and discussed during the WSES-AAST-WJES Consensus Conference on Anorectal Emergencies, and for each statement, a consensus among the WSES-AAST panel of experts was reached. We structured our work into seven main topics to cover the entire management of patients with anorectal emergencies and to provide an up-to-date, easy-to-use tool that can help physicians and surgeons during the decision-making process.
Databáze: OpenAIRE