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

    Research output: Contribution to journalArticleAcademicpeer-review

    19 Citations (Scopus)
    177 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 optimise outcomes of IBD patients who undergo surgery.

    METHODS: A multidisciplinary panel of IBD health care 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 and Colitis
    Volume17
    Issue number2
    Early online date2-Sept-2022
    DOIs
    Publication statusPublished - Feb-2023

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