ECCO Guidelines on Therapeutics in Ulcerative Colitis: Surgical Treatment

Author:

Spinelli Antonino12,Bonovas Stefanos3ORCID,Burisch Johan45ORCID,Kucharzik Torsten6,Adamina Michel78ORCID,Annese Vito9,Bachmann Oliver10ORCID,Bettenworth Dominik11,Chaparro Maria12,Czuber-Dochan Wladyslawa13,Eder Piotr14ORCID,Ellul Pierre15,Fidalgo Catarina16ORCID,Fiorino Gionata17ORCID,Gionchetti Paolo18,Gisbert Javier P12,Gordon Hannah19,Hedin Charlotte20ORCID,Holubar Stefan21ORCID,Iacucci Marietta2223,Karmiris Konstantinos24,Katsanos Konstantinos25,Kopylov Uri26,Lakatos Peter2728ORCID,Lytras Theodore29ORCID,Lyutakov Ivan30,Noor Nurulamin31ORCID,Pellino Gianluca32ORCID,Piovani Daniele333,Savarino Edoardo34ORCID,Selvaggi Francesco35,Verstockt Bram3637ORCID,Doherty Glen38,Raine Tim39ORCID,Panis Yves40ORCID

Affiliation:

1. Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele, Milan, Italy

2. IRCCS Humanitas Research Hospital -, via Manzoni, Division of colon and Rectal Surgery, Rozzano, Milan, Italy

3. Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy

4. Gastrounit, medical division, Hvidovre Hospital, University of Copenhagen, Denmark

5. Copenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Hvidovre Hospital, University of Copenhagen, Denmark

6. Department of Gastroenterology, Lüneburg Hospital, University of Hamburg, Lüneburg, Germany

7. Department of Surgery, Clinic of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Zurich, Switzerland

8. Department of Biomedical Engineering, Clinical Research and Artificial Intelligence in Surgery, Faculty of Medicine, University of Basel, Allschwil, Switzerland

9. Department of Gastroenterology, Fakeeh University Hospital, Dubai, UAE

10. Department of Internal Medicine I, Siloah St. Trudpert Hospital, Pforzheim, Germany, Hannover Medical School, Hannover, Germany

11. University Hospital Munster, Department of Medicine B - Gastroenterology and Hepatology, Munster, Germany

12. Gastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid (UAM), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain

13. King's College London, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, London, UK

14. Department of Gastroenterology, Dietetics and Internal Medicine - Poznań University of Medical Sciences, Poznań, Poland; Heliodor ?wi?cicki University Hospital, Poznań, Poland

15. Department of Medicine, Division of Gastroenterology, Mater Dei Hospital, Msida, Malta

16. Gastroenterology Division, Hospital Beatriz Ângelo, Loures, Portugal

17. Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; IBD Center, Humanitas Clinical and Research Center, Milan, Italy

18. IBD Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna DIMEC, University of Bologna, Bologna, Italy

19. Department of Gastroenterology, Barts Health NHS Trust, Royal London Hospital, London, United Kingdom

20. Karolinska Institutet, Department of Medicine Solna, Stockholm, Sweden; Karolinska University Hospital, Gastroenterology unit, Department of Gastroenterology, Dermatovenereology and Rheumatology, Stockholm, Sweden

21. Department of Colon & Rectal Surgery, Cleveland Clinic, Cleveland, Ohio, USA

22. Institute of Immunology and Immunotherapy, NIHR Biomedical Research Centre, University of Birmingham, UK

23. Division of Gastroenterology, University Hospitals Birmingham NHS Trust, UK

24. Department of Gastroenterology, Venizeleio General Hospital, Heraklion, Greece

25. Department of Gastroenterology and Hepatology, Division of Internal Medicine, University and Medical School of Ioannina, Ioannina, Greece

26. Department of Gastroenterology, Tel-HaShomer Sheba Medical Center, Ramat Gan, and Sackler Medical School, Tel Aviv, Israel

27. Division of Gastroenterology, McGill University Health Centre, Montreal, Canada

28. 1st Department of Medicine, Semmelweis University, Budapest, Hungary

29. School of Medicine, European University Cyprus, Nicosia, Cyprus

30. Department of Gastroenterology, University Hospital 'Tsaritsa Yoanna - ISUL', Medical University Sofia, Sofia, Bulgaria

31. Department of Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, United Kingdom

32. Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania "Luigi Vanvitelli", Naples; Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona, Spain

33. IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy

34. Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy

35. Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania "Luigi Vanvitelli", Naples, Italy

36. Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium

37. Department of Chronic Diseases, Metabolism and Ageing, TARGID - IBD, KU Leuven, Leuven, Belgium

38. Department of Gastroenterology and Centre for Colorectal Disease, St Vincent's University Hospital, Dublin, Ireland

39. Department of Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

40. Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, Clichy and Université of Paris, France

Abstract

Abstract This is the second of a series of two articles reporting the European Crohn’s and Colitis Organisation [ECCO] evidence-based consensus on the management of adult patients with ulcerative colitis [UC]. The first article is focused on medical management and the present article addresses medical treatment of acute severe ulcerative colitis [ASUC] and surgical management of medically refractory UC patients, including preoperative optimization, surgical strategies, and technical issues. The article provides advice for a variety of common clinical and surgical conditions. Together, the articles represent an update of the evidence-based recommendations of the ECCO for UC.

Publisher

Oxford University Press (OUP)

Subject

Gastroenterology,General Medicine

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