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Published in: Techniques in Coloproctology 10/2015

01-10-2015 | Consensus Statement

A think tank of the Italian society of colorectal surgery (SICCR) on the surgical treatment of inflammatory bowel disease using the Delphi method: Crohn’s disease

Authors: G. Pellino, F. Selvaggi, G. Ghezzi, D. Corona, G. Riegler, G. G. Delaini

Published in: Techniques in Coloproctology | Issue 10/2015

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Abstract

The management of Crohn’s disease (CD) requires extensive expertise. Many treatment options are available, and surgery still plays a crucial role. In recent years, many medical societies have provided surgeons and gastroenterologists dealing with CD with authoritative guidelines. However, a certain degree of variation can be observed in these papers, and application of guidelines in clinical practice should be improved. The Italian society of colorectal surgery (SICCR) promoted the project reported here, which consists of a think tank of Italian colorectal surgeons to address the surgical aspects of CD management. Members of the society were invited to express their opinions on several items proposed by the writing committee, based on evidence available in the literature. The results are presented, focusing on relevant points. The present paper is not an alternative to available guidelines; rather, it offers a snapshot of the attitudes of SICCR surgeons about the surgical treatment of CD. The management of CD is, by necessity, patient-tailored, and it is based on clinical data and surgeon’s preference, but the committee was able to identify some points of major disagreement and suggested strategies to improve quality of available data and acceptance of guidelines.
Literature
1.
go back to reference Selvaggi F, Pellino G, Ghezzi G, Corona D, Riegler G, Delaini GG; on behalf of the Italian Society of Colo-Rectal Surgery SICCR (2015) A think tank of SICCR on the surgical treatment of Inflammatory Bowel Diseases with Delphi method: ulcerative colitis. Tech Coloproctol. doi:10.1007/s10151-015-1367-5 Selvaggi F, Pellino G, Ghezzi G, Corona D, Riegler G, Delaini GG; on behalf of the Italian Society of Colo-Rectal Surgery SICCR (2015) A think tank of SICCR on the surgical treatment of Inflammatory Bowel Diseases with Delphi method: ulcerative colitis. Tech Coloproctol. doi:10.​1007/​s10151-015-1367-5
2.
go back to reference Satsangi J, Silverberg MS, Vermeire S, Colombel JF (2006) The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications. Gut 55:749–753CrossRefPubMedPubMedCentral Satsangi J, Silverberg MS, Vermeire S, Colombel JF (2006) The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications. Gut 55:749–753CrossRefPubMedPubMedCentral
3.
go back to reference Cosnes J, Cattan S, Blain A et al (2002) Long-term evolution of disease behavior of Crohn’s disease. Inflamm Bowel Dis 8:244–250CrossRefPubMed Cosnes J, Cattan S, Blain A et al (2002) Long-term evolution of disease behavior of Crohn’s disease. Inflamm Bowel Dis 8:244–250CrossRefPubMed
4.
go back to reference Pellino G, Sciaudone G, Selvaggi F, Riegler G (2015) Delayed diagnosis is influenced by the clinical pattern of Crohn’s disease and affects treatment outcomes and quality of life in the long term: a cross-sectional study of 361 patients in Southern Italy. Eur J Gastroenterol Hepatol 27:175–181CrossRefPubMed Pellino G, Sciaudone G, Selvaggi F, Riegler G (2015) Delayed diagnosis is influenced by the clinical pattern of Crohn’s disease and affects treatment outcomes and quality of life in the long term: a cross-sectional study of 361 patients in Southern Italy. Eur J Gastroenterol Hepatol 27:175–181CrossRefPubMed
5.
go back to reference Hovde Ø, Moum BA (2012) Epidemiology and clinical course of Crohn’s disease: results from observational studies. World J Gastroenterol 18:1723–1731CrossRefPubMedPubMedCentral Hovde Ø, Moum BA (2012) Epidemiology and clinical course of Crohn’s disease: results from observational studies. World J Gastroenterol 18:1723–1731CrossRefPubMedPubMedCentral
6.
go back to reference Peyrin-Biroulet L, Harmsen WS, Tremaine WJ, Zinsmeister AR, Sandborn WJ, Loftus EV Jr (2012) Surgery in a population-based cohort of Crohn’s disease from Olmsted County, Minnesota (1970–2004). Am J Gastroenterol 107:1693–1701CrossRefPubMedPubMedCentral Peyrin-Biroulet L, Harmsen WS, Tremaine WJ, Zinsmeister AR, Sandborn WJ, Loftus EV Jr (2012) Surgery in a population-based cohort of Crohn’s disease from Olmsted County, Minnesota (1970–2004). Am J Gastroenterol 107:1693–1701CrossRefPubMedPubMedCentral
7.
go back to reference Dignass A, Van Assche G, Lindsay JO, European Crohn’s and Colitis Organisation (ECCO) et al (2010) The second European evidence-based consensus on the diagnosis and management of Crohn’s disease: current management. J Crohns Colitis 4:28–62CrossRefPubMed Dignass A, Van Assche G, Lindsay JO, European Crohn’s and Colitis Organisation (ECCO) et al (2010) The second European evidence-based consensus on the diagnosis and management of Crohn’s disease: current management. J Crohns Colitis 4:28–62CrossRefPubMed
8.
go back to reference Hindryckx P, Baert F, Hart A, Armuzzi A, Panès J, Peyrin-Biroulet L, Clinical Trial Committee Clincom of the European Crohn’s and Colitis Organisation (ECCO) (2014) Clinical trials in luminal Crohn’s disease: a historical perspective. J Crohns Colitis 8:1339–1350CrossRefPubMed Hindryckx P, Baert F, Hart A, Armuzzi A, Panès J, Peyrin-Biroulet L, Clinical Trial Committee Clincom of the European Crohn’s and Colitis Organisation (ECCO) (2014) Clinical trials in luminal Crohn’s disease: a historical perspective. J Crohns Colitis 8:1339–1350CrossRefPubMed
9.
go back to reference Mendoza JL, Abreu MT (2009) Biological markers in inflammatory bowel disease: practical consideration for clinicians. Gastroenterol Clin Biol 3(33 Suppl):S158–S173CrossRef Mendoza JL, Abreu MT (2009) Biological markers in inflammatory bowel disease: practical consideration for clinicians. Gastroenterol Clin Biol 3(33 Suppl):S158–S173CrossRef
10.
go back to reference Panes J, Bouhnik Y, Reinisch W et al (2013) Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohns Colitis 7:556–585CrossRefPubMed Panes J, Bouhnik Y, Reinisch W et al (2013) Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohns Colitis 7:556–585CrossRefPubMed
11.
go back to reference Spinelli A, Fiorino G, Bazzi P et al (2014) Preoperative magnetic resonance enterography in predicting findings and optimizing surgical approach in Crohn’s disease. J Gastrointest Surg 18:83–90CrossRefPubMed Spinelli A, Fiorino G, Bazzi P et al (2014) Preoperative magnetic resonance enterography in predicting findings and optimizing surgical approach in Crohn’s disease. J Gastrointest Surg 18:83–90CrossRefPubMed
12.
go back to reference Rieder F, de Bruyn JR, Pham BT et al (2014) Results of the 4th scientific workshop of the ECCO (Group II): markers of intestinal fibrosis in inflammatory bowel disease. J Crohns Colitis 8:1166–1178CrossRefPubMed Rieder F, de Bruyn JR, Pham BT et al (2014) Results of the 4th scientific workshop of the ECCO (Group II): markers of intestinal fibrosis in inflammatory bowel disease. J Crohns Colitis 8:1166–1178CrossRefPubMed
13.
go back to reference Castiglione F, Mainenti PP, De Palma GD et al (2013) Noninvasive diagnosis of small bowel Crohn’s disease: direct comparison of bowel sonography and magnetic resonance enterography. Inflamm Bowel Dis 19:991–998CrossRefPubMed Castiglione F, Mainenti PP, De Palma GD et al (2013) Noninvasive diagnosis of small bowel Crohn’s disease: direct comparison of bowel sonography and magnetic resonance enterography. Inflamm Bowel Dis 19:991–998CrossRefPubMed
14.
go back to reference Ripolles T, Rausell N, Paredes JM, Grau E, Martinez MJ, Vizuete J (2013) Effectiveness of contrast-enhanced ultrasound for characterisation of intestinal inflammation in Crohn’s disease: a comparison with surgical histopathology analysis. J Crohns Colitis 7:120–128CrossRefPubMed Ripolles T, Rausell N, Paredes JM, Grau E, Martinez MJ, Vizuete J (2013) Effectiveness of contrast-enhanced ultrasound for characterisation of intestinal inflammation in Crohn’s disease: a comparison with surgical histopathology analysis. J Crohns Colitis 7:120–128CrossRefPubMed
15.
go back to reference Pellino G, Sciaudone G, Candilio G, Campitiello F, Selvaggi F, Canonico S (2014) Effects of a new pocket device for negative pressure wound therapy on surgical wounds of patients affected with Crohn’s disease: a pilot trial. Surg Innov 21:204–212CrossRefPubMed Pellino G, Sciaudone G, Candilio G, Campitiello F, Selvaggi F, Canonico S (2014) Effects of a new pocket device for negative pressure wound therapy on surgical wounds of patients affected with Crohn’s disease: a pilot trial. Surg Innov 21:204–212CrossRefPubMed
16.
go back to reference Shatari T, Clark MA, Yamamoto T et al (2004) Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn’s disease. Colorectal Dis 6:438–441CrossRefPubMed Shatari T, Clark MA, Yamamoto T et al (2004) Long strictureplasty is as safe and effective as short strictureplasty in small-bowel Crohn’s disease. Colorectal Dis 6:438–441CrossRefPubMed
17.
go back to reference Nguyen GC, Elnahas A, Jackson TD (2014) The impact of preoperative steroid use on short-term outcomes following surgery for inflammatory bowel disease. J Crohns Colitis 8:1661–1667CrossRefPubMed Nguyen GC, Elnahas A, Jackson TD (2014) The impact of preoperative steroid use on short-term outcomes following surgery for inflammatory bowel disease. J Crohns Colitis 8:1661–1667CrossRefPubMed
18.
go back to reference Ahmed Ali U, Martin ST, Rao AD, Kiran RP (2014) Impact of preoperative immunosuppressive agents on postoperative outcomes in Crohn’s disease. Dis Colon Rectum 57:663–674CrossRefPubMed Ahmed Ali U, Martin ST, Rao AD, Kiran RP (2014) Impact of preoperative immunosuppressive agents on postoperative outcomes in Crohn’s disease. Dis Colon Rectum 57:663–674CrossRefPubMed
19.
go back to reference Yang ZP, Hong L, Wu Q, Wu KC, Fan DM (2014) Preoperative infliximab use and postoperative complications in Crohn’s disease: a systematic review and meta-analysis. Int J Surg 12:224–230CrossRefPubMed Yang ZP, Hong L, Wu Q, Wu KC, Fan DM (2014) Preoperative infliximab use and postoperative complications in Crohn’s disease: a systematic review and meta-analysis. Int J Surg 12:224–230CrossRefPubMed
20.
go back to reference Selvaggi F, Pellino G, Canonico S, Sciaudone G (2015) Effect of preoperative biologic drugs on complications and function after restorative proctocolectomy with primary ileal pouch formation: systematic review and meta-analysis. Inflamm Bowel Dis 21:79–92CrossRefPubMed Selvaggi F, Pellino G, Canonico S, Sciaudone G (2015) Effect of preoperative biologic drugs on complications and function after restorative proctocolectomy with primary ileal pouch formation: systematic review and meta-analysis. Inflamm Bowel Dis 21:79–92CrossRefPubMed
21.
go back to reference Hanauer SB, Sandborn W, Practice Parameters Committee of the American College of Gastroenterology (2001) Management of Crohn’s disease in adults. Am J Gastroenterol 96:635–643CrossRefPubMed Hanauer SB, Sandborn W, Practice Parameters Committee of the American College of Gastroenterology (2001) Management of Crohn’s disease in adults. Am J Gastroenterol 96:635–643CrossRefPubMed
22.
go back to reference Bemelman WA, Ivenski M, van Hogezand RA, Hermans J, Veenendaal RA, Griffioen G (2001) How effective is extensive nonsurgical treatment of patients with clinically active Crohn’s disease of the terminal ileum in preventing surgery? Dig Surg 18:56–60CrossRefPubMed Bemelman WA, Ivenski M, van Hogezand RA, Hermans J, Veenendaal RA, Griffioen G (2001) How effective is extensive nonsurgical treatment of patients with clinically active Crohn’s disease of the terminal ileum in preventing surgery? Dig Surg 18:56–60CrossRefPubMed
23.
go back to reference Berg DF, Bahadusingh AM, Kaminski DL, Longo WE (2002) Acute surgical emergencies in inflammatory bowel disease. Am J Surg 184:45–51CrossRefPubMed Berg DF, Bahadusingh AM, Kaminski DL, Longo WE (2002) Acute surgical emergencies in inflammatory bowel disease. Am J Surg 184:45–51CrossRefPubMed
24.
go back to reference Ikeuchi H, Yamamura T (2002) Free perforation in Crohn’s disease: review of the Japanese literature. J Gastroenterol 37:1020–1027CrossRefPubMed Ikeuchi H, Yamamura T (2002) Free perforation in Crohn’s disease: review of the Japanese literature. J Gastroenterol 37:1020–1027CrossRefPubMed
25.
go back to reference Spinelli A, Allocca M, Jovani M, Danese S (2014) Review article: optimal preparation for surgery in Crohn’s disease. Aliment Pharmacol Ther 40:1009–1022CrossRefPubMed Spinelli A, Allocca M, Jovani M, Danese S (2014) Review article: optimal preparation for surgery in Crohn’s disease. Aliment Pharmacol Ther 40:1009–1022CrossRefPubMed
26.
go back to reference Werbin N, Hadad R, Greenberg R, Karin E, Skornick Y (2003) Free perforation in Crohn’s disease. Isr Med Assoc J 5:175–177PubMed Werbin N, Hadad R, Greenberg R, Karin E, Skornick Y (2003) Free perforation in Crohn’s disease. Isr Med Assoc J 5:175–177PubMed
27.
go back to reference Maconi G, Sampietro GM, Parente F et al (2003) Contrast radiology, computed tomography and ultrasonography in detecting internal fistulas and intra-abdominal abscesses in Crohn’s disease: a prospective comparative study. Am J Gastroenterol 98:1545–1555CrossRefPubMed Maconi G, Sampietro GM, Parente F et al (2003) Contrast radiology, computed tomography and ultrasonography in detecting internal fistulas and intra-abdominal abscesses in Crohn’s disease: a prospective comparative study. Am J Gastroenterol 98:1545–1555CrossRefPubMed
29.
go back to reference Latella G, Rogler G, Bamias G et al (2014) Results of the 4th scientific workshop of the ECCO (I): pathophysiology of intestinal fibrosis in IBD. J Crohns Colitis 8:1147–1165CrossRefPubMed Latella G, Rogler G, Bamias G et al (2014) Results of the 4th scientific workshop of the ECCO (I): pathophysiology of intestinal fibrosis in IBD. J Crohns Colitis 8:1147–1165CrossRefPubMed
30.
go back to reference Rieder F, Zimmermann EM, Remzi FH, Sandborn WJ (2013) Crohn’s disease complicated by strictures: a systematic review. Gut 62:1072–1084CrossRefPubMed Rieder F, Zimmermann EM, Remzi FH, Sandborn WJ (2013) Crohn’s disease complicated by strictures: a systematic review. Gut 62:1072–1084CrossRefPubMed
31.
go back to reference Atreja A, Aggarwal A, Dwivedi S et al (2014) Safety and efficacy of endoscopic dilation for primary and anastomotic Crohn’s disease strictures. J Crohns Colitis 8:392–400CrossRefPubMed Atreja A, Aggarwal A, Dwivedi S et al (2014) Safety and efficacy of endoscopic dilation for primary and anastomotic Crohn’s disease strictures. J Crohns Colitis 8:392–400CrossRefPubMed
32.
go back to reference Veroux M, Angriman I, Ruffolo C et al (2003) Severe gastrointestinal bleeding in Crohn’s disease. Ann Ital Chir 74:213–215 (discussion 216) PubMed Veroux M, Angriman I, Ruffolo C et al (2003) Severe gastrointestinal bleeding in Crohn’s disease. Ann Ital Chir 74:213–215 (discussion 216) PubMed
34.
go back to reference Newby EA, Sawczenko A, Thomas AG, Wilson D (2005) Interventions for growth failure in childhood Crohn’s disease. Cochrane Database Syst Rev 3:CD003873PubMed Newby EA, Sawczenko A, Thomas AG, Wilson D (2005) Interventions for growth failure in childhood Crohn’s disease. Cochrane Database Syst Rev 3:CD003873PubMed
35.
go back to reference Sebastian S, Hernández V, Myrelid P et al (2014) Colorectal cancer in inflammatory bowel disease: results of the 3rd ECCO pathogenesis scientific workshop (I). J Crohns Colitis 8:5–18CrossRefPubMed Sebastian S, Hernández V, Myrelid P et al (2014) Colorectal cancer in inflammatory bowel disease: results of the 3rd ECCO pathogenesis scientific workshop (I). J Crohns Colitis 8:5–18CrossRefPubMed
36.
go back to reference Egan L, D’Inca R, Jess T et al (2014) Non-colorectal intestinal tract carcinomas in inflammatory bowel disease: results of the 3rd ECCO Pathogenesis Scientific Workshop (II). J Crohns Colitis 8:19–30CrossRefPubMed Egan L, D’Inca R, Jess T et al (2014) Non-colorectal intestinal tract carcinomas in inflammatory bowel disease: results of the 3rd ECCO Pathogenesis Scientific Workshop (II). J Crohns Colitis 8:19–30CrossRefPubMed
37.
go back to reference Lovasz BD, Lakatos L, Golovics PA et al (2003) Risk of colorectal cancer in Crohn’s disease patients with colonic involvement and stenosing disease in a population-based cohort from Hungary. J Gastrointestin Liver Dis 22:265–268 Lovasz BD, Lakatos L, Golovics PA et al (2003) Risk of colorectal cancer in Crohn’s disease patients with colonic involvement and stenosing disease in a population-based cohort from Hungary. J Gastrointestin Liver Dis 22:265–268
38.
go back to reference Mitchell PJ, Salmo E, Haboubi NY (2007) Inflammatory bowel disease: the problems of dysplasia and surveillance. Tech Coloproctol 11:299–309CrossRefPubMed Mitchell PJ, Salmo E, Haboubi NY (2007) Inflammatory bowel disease: the problems of dysplasia and surveillance. Tech Coloproctol 11:299–309CrossRefPubMed
39.
go back to reference Winawer S, Fletcher R, Rex D, Gastrointestinal Consortium Panel et al (2003) Colorectal cancer screening and surveillance: clinical guidelines and rationale—update based on new evidence. Gastroenterology 124:544–560CrossRefPubMed Winawer S, Fletcher R, Rex D, Gastrointestinal Consortium Panel et al (2003) Colorectal cancer screening and surveillance: clinical guidelines and rationale—update based on new evidence. Gastroenterology 124:544–560CrossRefPubMed
40.
go back to reference Itzkowitz SH, Harpaz N (2004) Diagnosis and management of dysplasia in patients with inflammatory bowel diseases. Gastroenterology 126:1634–1648CrossRefPubMed Itzkowitz SH, Harpaz N (2004) Diagnosis and management of dysplasia in patients with inflammatory bowel diseases. Gastroenterology 126:1634–1648CrossRefPubMed
41.
go back to reference Kavanagh DO, Carter MC, Keegan D et al (2014) Management of colorectal cancer in patients with inflammatory bowel disease. Tech Coloproctol 18:23–28CrossRefPubMed Kavanagh DO, Carter MC, Keegan D et al (2014) Management of colorectal cancer in patients with inflammatory bowel disease. Tech Coloproctol 18:23–28CrossRefPubMed
42.
43.
go back to reference Bell SJ, Williams AB, Wiesel P, Wilkinson K, Cohen RC, Kamm MA (2003) The clinical course of fistulating Crohn’s disease. Aliment Pharmacol Ther 17:1145–1151CrossRefPubMed Bell SJ, Williams AB, Wiesel P, Wilkinson K, Cohen RC, Kamm MA (2003) The clinical course of fistulating Crohn’s disease. Aliment Pharmacol Ther 17:1145–1151CrossRefPubMed
44.
go back to reference Irvine EJ (1995) Usual therapy improves perianal Crohn’s disease as measured by a new disease activity index. McMaster IBD Study Group. J Clin Gastroenterol 20:27–32CrossRefPubMed Irvine EJ (1995) Usual therapy improves perianal Crohn’s disease as measured by a new disease activity index. McMaster IBD Study Group. J Clin Gastroenterol 20:27–32CrossRefPubMed
45.
go back to reference Papay P, Ignjatovic A, Karmiris K et al (2013) Optimising monitoring in the management of Crohn’s disease: a physician’s perspective. J Crohns Colitis 7:653–669CrossRefPubMed Papay P, Ignjatovic A, Karmiris K et al (2013) Optimising monitoring in the management of Crohn’s disease: a physician’s perspective. J Crohns Colitis 7:653–669CrossRefPubMed
46.
go back to reference Spinelli A, De Cassan C, Sacchi M et al (2012) Imaging modalities for perianal Crohn’s disease. Curr Drug Targets 13:1287–1293CrossRefPubMed Spinelli A, De Cassan C, Sacchi M et al (2012) Imaging modalities for perianal Crohn’s disease. Curr Drug Targets 13:1287–1293CrossRefPubMed
47.
go back to reference Siddiqui MR, Ashrafian H, Tozer P et al (2012) A diagnostic accuracy meta-analysis of endoanal ultrasound and MRI for perianal fistula assessment. Dis Colon Rectum 55:576–585CrossRefPubMed Siddiqui MR, Ashrafian H, Tozer P et al (2012) A diagnostic accuracy meta-analysis of endoanal ultrasound and MRI for perianal fistula assessment. Dis Colon Rectum 55:576–585CrossRefPubMed
48.
go back to reference Buchanan GN, Halligan S, Bartram CI, Williams AB, Tarroni D, Cohen CR (2004) Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in Ano: comparison with outcome-based reference standard. Radiology 233:674–681CrossRefPubMed Buchanan GN, Halligan S, Bartram CI, Williams AB, Tarroni D, Cohen CR (2004) Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in Ano: comparison with outcome-based reference standard. Radiology 233:674–681CrossRefPubMed
49.
go back to reference Gecse KB, Bemelman W, Kamm MA, World Gastroenterology Organization, International Organisation for Inflammatory Bowel Diseases IOIBD, European Society of Coloproctology and Robarts Clinical Trials, World Gastroenterology Organization International Organisation for Inflammatory Bowel Diseases IOIBD European Society of Coloproctology and Robarts Clinical Trials (2014) A global consensus on the classification, diagnosis and multidisciplinary treatment of perianal fistulising Crohn’s disease. Gut 63:1381–1392CrossRefPubMed Gecse KB, Bemelman W, Kamm MA, World Gastroenterology Organization, International Organisation for Inflammatory Bowel Diseases IOIBD, European Society of Coloproctology and Robarts Clinical Trials, World Gastroenterology Organization International Organisation for Inflammatory Bowel Diseases IOIBD European Society of Coloproctology and Robarts Clinical Trials (2014) A global consensus on the classification, diagnosis and multidisciplinary treatment of perianal fistulising Crohn’s disease. Gut 63:1381–1392CrossRefPubMed
50.
go back to reference Hvas CL, Dahlerup JF, Jacobsen BA et al (2011) Diagnosis and treatment of fistulising Crohn’s disease. Dan Med Bull 58:C4338PubMed Hvas CL, Dahlerup JF, Jacobsen BA et al (2011) Diagnosis and treatment of fistulising Crohn’s disease. Dan Med Bull 58:C4338PubMed
51.
go back to reference Sciaudone G, Di Stazio C, Limongelli P et al (2010) Treatment of complex perianal fistulas in Crohn disease: infliximab, surgery or combined approach. Can J Surg 53:299–304PubMedPubMedCentral Sciaudone G, Di Stazio C, Limongelli P et al (2010) Treatment of complex perianal fistulas in Crohn disease: infliximab, surgery or combined approach. Can J Surg 53:299–304PubMedPubMedCentral
52.
go back to reference Pellino G, Selvaggi F (2014) Surgical treatment of perianal fistulizing Crohn’s disease: from lay-open to cell-based therapy—an overview. ScientificWorldJournal 2014:146281CrossRefPubMedPubMedCentral Pellino G, Selvaggi F (2014) Surgical treatment of perianal fistulizing Crohn’s disease: from lay-open to cell-based therapy—an overview. ScientificWorldJournal 2014:146281CrossRefPubMedPubMedCentral
53.
go back to reference Sciaudone G, Pellino G, Riegler G, Selvaggi F (2011) Infliximab in drug-naïve patients with failed ileorectal anastomosis for Crohn’s disease: a new chance for sparing the rectum? Eur Surg Res 46:163–168CrossRefPubMed Sciaudone G, Pellino G, Riegler G, Selvaggi F (2011) Infliximab in drug-naïve patients with failed ileorectal anastomosis for Crohn’s disease: a new chance for sparing the rectum? Eur Surg Res 46:163–168CrossRefPubMed
54.
go back to reference Yamamoto T, Allan RN, Keighley MR (2000) Effect of fecal diversion alone on perianal Crohn’s disease. World J Surg 24:1258–1262 (discussion 1262–1263) CrossRefPubMed Yamamoto T, Allan RN, Keighley MR (2000) Effect of fecal diversion alone on perianal Crohn’s disease. World J Surg 24:1258–1262 (discussion 1262–1263) CrossRefPubMed
55.
go back to reference Aratari A, Papi C, Leandro G, Viscido A, Capurso L, Caprilli R (2007) Early versus late surgery for ileo-caecal Crohn’s disease. Aliment Pharmacol Ther 26:1303–1312CrossRefPubMed Aratari A, Papi C, Leandro G, Viscido A, Capurso L, Caprilli R (2007) Early versus late surgery for ileo-caecal Crohn’s disease. Aliment Pharmacol Ther 26:1303–1312CrossRefPubMed
57.
go back to reference Tilney HS, Constantinides VA, Heriot AG et al (2006) Comparison of laparoscopic and open ileocecal resection for Crohn’s disease: a metaanalysis. Surg Endosc 20:1036–1044CrossRefPubMed Tilney HS, Constantinides VA, Heriot AG et al (2006) Comparison of laparoscopic and open ileocecal resection for Crohn’s disease: a metaanalysis. Surg Endosc 20:1036–1044CrossRefPubMed
58.
go back to reference Lesperance K, Martin MJ, Lehmann R, Brounts L, Steele SR (2009) National trends and outcomes for the surgical therapy of ileocolonic Crohn’s disease: a population-based analysis of laparoscopic vs. open approaches. J Gastrointest Surg 13:1251–1259CrossRefPubMed Lesperance K, Martin MJ, Lehmann R, Brounts L, Steele SR (2009) National trends and outcomes for the surgical therapy of ileocolonic Crohn’s disease: a population-based analysis of laparoscopic vs. open approaches. J Gastrointest Surg 13:1251–1259CrossRefPubMed
59.
go back to reference Polle SW, Wind J, Ubbink DT, Hommes DW, Gouma DJ, Bemelman WA (2006) Short-term outcomes after laparoscopic ileocolic resection for Crohn’s disease. A systematic review. Dig Surg 23:346–357CrossRefPubMed Polle SW, Wind J, Ubbink DT, Hommes DW, Gouma DJ, Bemelman WA (2006) Short-term outcomes after laparoscopic ileocolic resection for Crohn’s disease. A systematic review. Dig Surg 23:346–357CrossRefPubMed
60.
go back to reference Yamamoto T, Keighley MR (1999) Proctocolectomy is associated with a higher complication rate but carries a lower recurrence rate than total colectomy and ileorectal anastomosis in Crohn colitis. Scand J Gastroenterol 34:1212–1215CrossRefPubMed Yamamoto T, Keighley MR (1999) Proctocolectomy is associated with a higher complication rate but carries a lower recurrence rate than total colectomy and ileorectal anastomosis in Crohn colitis. Scand J Gastroenterol 34:1212–1215CrossRefPubMed
61.
go back to reference Andersson P, Olaison G, Hallbook O, Sjodahl R (2002) Segmental resection or subtotal colectomy in Crohn’s colitis? Dis Colon Rectum 45:47–53CrossRefPubMed Andersson P, Olaison G, Hallbook O, Sjodahl R (2002) Segmental resection or subtotal colectomy in Crohn’s colitis? Dis Colon Rectum 45:47–53CrossRefPubMed
62.
go back to reference Tekkis PP, Purkayastha S, Lanitis S et al (2006) A comparison of segmental vs subtotal/total colectomy for colonic Crohn’s disease: a meta-analysis. Colorectal Dis 8:82–90CrossRefPubMed Tekkis PP, Purkayastha S, Lanitis S et al (2006) A comparison of segmental vs subtotal/total colectomy for colonic Crohn’s disease: a meta-analysis. Colorectal Dis 8:82–90CrossRefPubMed
63.
go back to reference Lian L, Stocchi L, Shen B et al (2015) Prediction of need for surgery after endoscopic balloon dilation of ileocolic anastomotic stricture in patients with Crohn’s disease. Dis Colon Rectum 58:423–430CrossRefPubMed Lian L, Stocchi L, Shen B et al (2015) Prediction of need for surgery after endoscopic balloon dilation of ileocolic anastomotic stricture in patients with Crohn’s disease. Dis Colon Rectum 58:423–430CrossRefPubMed
64.
go back to reference Campbell L, Ambe R, Weaver J, Marcus SM, Cagir B (2012) Comparison of conventional and nonconventional strictureplasties in Crohn’s disease: a systematic review and meta-analysis. Dis Colon Rectum 55:714–726CrossRefPubMed Campbell L, Ambe R, Weaver J, Marcus SM, Cagir B (2012) Comparison of conventional and nonconventional strictureplasties in Crohn’s disease: a systematic review and meta-analysis. Dis Colon Rectum 55:714–726CrossRefPubMed
65.
go back to reference Poggioli G, Laureti S, Pierangeli F, Ugolini F (2003) A new model of strictureplasty for multiple and long stenoses in Crohn’s ileitis: side-to-side diseased to disease-free anastomosis. Dis Colon Rectum 46:127–130CrossRefPubMed Poggioli G, Laureti S, Pierangeli F, Ugolini F (2003) A new model of strictureplasty for multiple and long stenoses in Crohn’s ileitis: side-to-side diseased to disease-free anastomosis. Dis Colon Rectum 46:127–130CrossRefPubMed
66.
go back to reference Selvaggi F, Sciaudone G, Giuliani A, Limongelli P, Di Stazio C (2007) A new type of strictureplasty for the treatment of multiple long stenosis in Crohn’s disease. Inflamm Bowel Dis 13:641–642CrossRefPubMed Selvaggi F, Sciaudone G, Giuliani A, Limongelli P, Di Stazio C (2007) A new type of strictureplasty for the treatment of multiple long stenosis in Crohn’s disease. Inflamm Bowel Dis 13:641–642CrossRefPubMed
67.
go back to reference Michelassi F, Upadhyay GA (2004) Side-to-side isoperistaltic strictureplasty in the treatment of extensive Crohn’s disease. J Surg Res 117:71–78CrossRefPubMed Michelassi F, Upadhyay GA (2004) Side-to-side isoperistaltic strictureplasty in the treatment of extensive Crohn’s disease. J Surg Res 117:71–78CrossRefPubMed
68.
go back to reference Reese GE, Purkayastha S, Tilney HS, von Roon A, Yamamoto T, Tekkis PP (2007) Strictureplasty vs resection in small bowel Crohn’s disease: an evaluation of short-term outcomes and recurrence. Colorectal Dis 9:686–894CrossRefPubMed Reese GE, Purkayastha S, Tilney HS, von Roon A, Yamamoto T, Tekkis PP (2007) Strictureplasty vs resection in small bowel Crohn’s disease: an evaluation of short-term outcomes and recurrence. Colorectal Dis 9:686–894CrossRefPubMed
69.
go back to reference Sampietro GM, Sartani A, Danelli P et al (2003) Strictureplasty in the surgical treatment of complicated Crohn’s disease. Ann Ital Chir 74:659–663PubMed Sampietro GM, Sartani A, Danelli P et al (2003) Strictureplasty in the surgical treatment of complicated Crohn’s disease. Ann Ital Chir 74:659–663PubMed
70.
go back to reference Scarpa M, Angriman I, Barollo M et al (2004) Role of stapled and hand-sewn anastomoses in recurrence of Crohn’s disease. Hepatogastroenterology 51:1053–1057PubMed Scarpa M, Angriman I, Barollo M et al (2004) Role of stapled and hand-sewn anastomoses in recurrence of Crohn’s disease. Hepatogastroenterology 51:1053–1057PubMed
72.
go back to reference Choy PY, Bissett IP, Docherty JG, Parry BR, Merrie A, Fitzgerald A (2011) Stapled versus handsewn methods for ileocolic anastomoses. Cochrane Database Syst Rev 9:CD004320PubMed Choy PY, Bissett IP, Docherty JG, Parry BR, Merrie A, Fitzgerald A (2011) Stapled versus handsewn methods for ileocolic anastomoses. Cochrane Database Syst Rev 9:CD004320PubMed
73.
go back to reference Maggiori L, Panis Y (2014) Laparoscopy in Crohn’s disease. Best Pract Res Clin Gastroenterol 28:183–194CrossRefPubMed Maggiori L, Panis Y (2014) Laparoscopy in Crohn’s disease. Best Pract Res Clin Gastroenterol 28:183–194CrossRefPubMed
74.
go back to reference Tavernier M, Lebreton G, Alves A (2013) Laparoscopic surgery for complex Crohn’s disease. J Visc Surg 150:389–393CrossRefPubMed Tavernier M, Lebreton G, Alves A (2013) Laparoscopic surgery for complex Crohn’s disease. J Visc Surg 150:389–393CrossRefPubMed
75.
go back to reference De Cruz P, Kamm MA, Prideaux L, Allen PB, Desmond PV (2012) Postoperative recurrent luminal Crohn’s disease: a systematic review. Inflamm Bowel Dis 18:758–777CrossRefPubMed De Cruz P, Kamm MA, Prideaux L, Allen PB, Desmond PV (2012) Postoperative recurrent luminal Crohn’s disease: a systematic review. Inflamm Bowel Dis 18:758–777CrossRefPubMed
76.
go back to reference Reese GE, Nanidis T, Borysiewicz C, Yamamoto T, Orchard T, Tekkis PP (2008) The effect of smoking after surgery for Crohn’s disease: a meta-analysis of observational studies. Int J Colorectal Dis 23:1213–1221CrossRefPubMed Reese GE, Nanidis T, Borysiewicz C, Yamamoto T, Orchard T, Tekkis PP (2008) The effect of smoking after surgery for Crohn’s disease: a meta-analysis of observational studies. Int J Colorectal Dis 23:1213–1221CrossRefPubMed
77.
go back to reference Onali S, Petruzziello C, Calabrese E et al (2009) Frequency, pattern, and risk factors of postoperative recurrence of Crohn’s disease after resection different from ileo-colonic. J Gastrointest Surg 13:246–252CrossRefPubMed Onali S, Petruzziello C, Calabrese E et al (2009) Frequency, pattern, and risk factors of postoperative recurrence of Crohn’s disease after resection different from ileo-colonic. J Gastrointest Surg 13:246–252CrossRefPubMed
78.
go back to reference Shen FC, Zhang HJ, Zhao XD, Cao RS, Shi RH (2012) Purine analogues compared with mesalamine or 5-ASA for the prevention of postoperative recurrence in Crohn’s disease: a meta-analysis. Int J Clin Pract 66:758–766CrossRefPubMed Shen FC, Zhang HJ, Zhao XD, Cao RS, Shi RH (2012) Purine analogues compared with mesalamine or 5-ASA for the prevention of postoperative recurrence in Crohn’s disease: a meta-analysis. Int J Clin Pract 66:758–766CrossRefPubMed
79.
go back to reference Renna S, Cammà C, Modesto I et al (2008) Meta-analysis of the placebo rates of clinical relapse and severe endoscopic recurrence in postoperative Crohn’s disease. Gastroenterology 135:1500–1509CrossRefPubMed Renna S, Cammà C, Modesto I et al (2008) Meta-analysis of the placebo rates of clinical relapse and severe endoscopic recurrence in postoperative Crohn’s disease. Gastroenterology 135:1500–1509CrossRefPubMed
80.
go back to reference Tursi A, Elisei W, Picchio M et al (2014) Comparison of the effectiveness of infliximab and adalimumab in preventing postoperative recurrence in patients with Crohn’s disease: an open-label, pilot study. Tech Coloproctol 18:1041–1046CrossRefPubMed Tursi A, Elisei W, Picchio M et al (2014) Comparison of the effectiveness of infliximab and adalimumab in preventing postoperative recurrence in patients with Crohn’s disease: an open-label, pilot study. Tech Coloproctol 18:1041–1046CrossRefPubMed
Metadata
Title
A think tank of the Italian society of colorectal surgery (SICCR) on the surgical treatment of inflammatory bowel disease using the Delphi method: Crohn’s disease
Authors
G. Pellino
F. Selvaggi
G. Ghezzi
D. Corona
G. Riegler
G. G. Delaini
Publication date
01-10-2015
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 10/2015
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-015-1368-4

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