TY - JOUR
T1 - A think tank of the Italian Society of Colorectal Surgery (SICCR) on the surgical treatment of inflammatory bowel disease using the Delphi method
T2 - ulcerative colitis
AU - Selvaggi, F.
AU - Pellino, G.
AU - Ghezzi, G.
AU - Corona, D.
AU - Riegler, G.
AU - Delaini, G. G.
N1 - Publisher Copyright:
© 2015, Springer-Verlag Italia Srl.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - The majority of patients suffering from ulcerative colitis (UC) are managed successfully with medical treatment, but a relevant number of them will still need surgery at some point in their life. Medical treatments and surgical techniques have changed dramatically in recent years, and available guidelines from relevant societies are rapidly evolving, providing UC experts with updated and valid practical recommendations. However, some aspects of the management of UC patients are still debated, and the application of guidelines in clinical practice may be suboptimal. The Italian Society of Colorectal Surgery (SICCR) sponsored the think tank in order to identify critical aspects of the surgical management of UC in Italy. The present paper reports the results of a think tank of Italian colorectal surgeons concerning surgery for UC and was not developed as an alternative to authoritative guidelines currently available. Members of the SICCR voted on several items proposed by the writing committee, based on evidence from the literature. The results are presented, focusing on points to be implemented. UC management relies on evaluations that need to be individualized, but points of major disagreement reported in this paper should be considered in order to develop strategies to improve the quality of the evidence and the application of guidelines in a clinical setting.
AB - The majority of patients suffering from ulcerative colitis (UC) are managed successfully with medical treatment, but a relevant number of them will still need surgery at some point in their life. Medical treatments and surgical techniques have changed dramatically in recent years, and available guidelines from relevant societies are rapidly evolving, providing UC experts with updated and valid practical recommendations. However, some aspects of the management of UC patients are still debated, and the application of guidelines in clinical practice may be suboptimal. The Italian Society of Colorectal Surgery (SICCR) sponsored the think tank in order to identify critical aspects of the surgical management of UC in Italy. The present paper reports the results of a think tank of Italian colorectal surgeons concerning surgery for UC and was not developed as an alternative to authoritative guidelines currently available. Members of the SICCR voted on several items proposed by the writing committee, based on evidence from the literature. The results are presented, focusing on points to be implemented. UC management relies on evaluations that need to be individualized, but points of major disagreement reported in this paper should be considered in order to develop strategies to improve the quality of the evidence and the application of guidelines in a clinical setting.
KW - Guidelines
KW - Inflammatory bowel disease
KW - Surgery
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=84942834334&partnerID=8YFLogxK
U2 - 10.1007/s10151-015-1367-5
DO - 10.1007/s10151-015-1367-5
M3 - Review article
C2 - 26386867
AN - SCOPUS:84942834334
SN - 1123-6337
VL - 19
SP - 627
EP - 638
JO - Techniques in Coloproctology
JF - Techniques in Coloproctology
IS - 10
ER -