WSES-AAST guidelines: management of inflammatory bowel disease in the emergency setting

Belinda De Simone, Justin Davies, Elie Chouillard, Salomone Di Saverio, Frank Hoentjen, Antonio Tarasconi, Massimo Sartelli, Walter L. Biffl, Luca Ansaloni, Federico Coccolini, Massimo Chiarugi, Nicola De’Angelis, Ernest E. Moore, Yoram Kluger, Fikri Abu-Zidan, Boris Sakakushev, Raul Coimbra, Valerio Celentano, Imtiaz Wani, Tadeja PintarGabriele Sganga, Isidoro Di Carlo, Dario Tartaglia, Manos Pikoulis, Maurizio Cardi, Marc A. De Moya, Ari Leppaniemi, Andrew Kirkpatrick, Vanni Agnoletti, Gilberto Poggioli, Paolo Carcoforo, Gian Luca Baiocchi, Fausto Catena

Research output: Contribution to journalReview articlepeer-review

31 Citations (Scopus)


Background: Despite the current therapeutic options for the treatment of inflammatory bowel disease, surgery is still frequently required in the emergency setting, although the number of cases performed seems to have decreased in recent years. The World Society of Emergency Surgery decided to debate in a consensus conference of experts, the main pertinent issues around the management of inflammatory bowel disease in the emergent situation, with the need to provide focused guidelines for acute care and emergency surgeons. Method: A group of experienced surgeons and gastroenterologists were nominated to develop the topics assigned and answer the questions addressed by the Steering Committee of the project. Each expert followed a precise analysis and grading of the studies selected for review. Statements and recommendations were discussed and voted at the Consensus Conference of the 6th World Society of Emergency Surgery held in Nijmegen (The Netherlands) in June 2019. Conclusions: Complicated inflammatory bowel disease requires a multidisciplinary approach because of the complexity of this patient group and disease spectrum in the emergency setting, with the aim of obtaining safe surgery with good functional outcomes and a decreasing stoma rate where appropriate.

Original languageEnglish
Article number23
JournalWorld Journal of Emergency Surgery
Issue number1
Publication statusPublished - Dec 2021


  • Abscess
  • Crohn’s disease
  • Damage control surgery
  • Emergency surgery
  • Inflammatory bowel disease
  • Laparoscopy
  • Open abdomen
  • Percutaneous drainage
  • Perforation
  • Perianal sepsis
  • Peritonitis
  • SILS
  • Toxic megacolon
  • Ulcerative colitis

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine


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