Management of inflammatory bowel diseases in urgent and emergency scenario

Detalhes bibliográficos
Autor(a) principal: Gomes,Carlos Augusto
Data de Publicação: 2020
Outros Autores: Podda,Mauro, Veiga,Sabrina Carpanez, Cabral,Tayenne do Vale, Lima,Luiza Verardo, Miron,Lorena Costa, Oliveira,Vanessa de Lucas, Aranha,Gabriel Lunardi
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000100083
Resumo: Abstract Objective To review the main acute complications of inflammatory bowel disease in order to present the state of the art of their respective diagnosis and treatment. Methods A bibliographic search was conducted in Medline database using the following keywords: “inflammatory bowel disease”, “Colitis Ulcerative”, “Crohn Disease”, “emergency” among others that had their variation evaluated by the MESH. Articles from the last 10 years conducted with humans, written in Portuguese or English, and published in journals with impact factor greater than 1 were selected. Results After carrying out the search phrase and selecting the filters, 20 articles were selected to be included in the research. The most common acute complications were evaluated, focusing on their current propaedeutic and management aspects. Conclusion Most emergencies related to inflammatory bowel disease should be treated non-operatively firstly, prioritizing patient hemodynamic state. In selected cases of life-threatening complications emergent operative treatment are mandatory. The timing of procedure is the most important aspect. As general rule, in Crohn’s Disease, operative treatment should be postponed as much as possible and the resection as small as possible. In case of ulcerative rectocolitis, if the hemodynamic state of the patient allows, proctocolectomy should be expedited with curative intention.
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spelling Management of inflammatory bowel diseases in urgent and emergency scenarioInflammatory bowel diseasesEmergenciesComplicationsAbstract Objective To review the main acute complications of inflammatory bowel disease in order to present the state of the art of their respective diagnosis and treatment. Methods A bibliographic search was conducted in Medline database using the following keywords: “inflammatory bowel disease”, “Colitis Ulcerative”, “Crohn Disease”, “emergency” among others that had their variation evaluated by the MESH. Articles from the last 10 years conducted with humans, written in Portuguese or English, and published in journals with impact factor greater than 1 were selected. Results After carrying out the search phrase and selecting the filters, 20 articles were selected to be included in the research. The most common acute complications were evaluated, focusing on their current propaedeutic and management aspects. Conclusion Most emergencies related to inflammatory bowel disease should be treated non-operatively firstly, prioritizing patient hemodynamic state. In selected cases of life-threatening complications emergent operative treatment are mandatory. The timing of procedure is the most important aspect. As general rule, in Crohn’s Disease, operative treatment should be postponed as much as possible and the resection as small as possible. In case of ulcerative rectocolitis, if the hemodynamic state of the patient allows, proctocolectomy should be expedited with curative intention.Sociedade Brasileira de Coloproctologia2020-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632020000100083Journal of Coloproctology (Rio de Janeiro) v.40 n.1 2020reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2019.10.012info:eu-repo/semantics/openAccessGomes,Carlos AugustoPodda,MauroVeiga,Sabrina CarpanezCabral,Tayenne do ValeLima,Luiza VerardoMiron,Lorena CostaOliveira,Vanessa de LucasAranha,Gabriel Lunardieng2020-03-19T00:00:00Zoai:scielo:S2237-93632020000100083Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2020-03-19T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv Management of inflammatory bowel diseases in urgent and emergency scenario
title Management of inflammatory bowel diseases in urgent and emergency scenario
spellingShingle Management of inflammatory bowel diseases in urgent and emergency scenario
Gomes,Carlos Augusto
Inflammatory bowel diseases
Emergencies
Complications
title_short Management of inflammatory bowel diseases in urgent and emergency scenario
title_full Management of inflammatory bowel diseases in urgent and emergency scenario
title_fullStr Management of inflammatory bowel diseases in urgent and emergency scenario
title_full_unstemmed Management of inflammatory bowel diseases in urgent and emergency scenario
title_sort Management of inflammatory bowel diseases in urgent and emergency scenario
author Gomes,Carlos Augusto
author_facet Gomes,Carlos Augusto
Podda,Mauro
Veiga,Sabrina Carpanez
Cabral,Tayenne do Vale
Lima,Luiza Verardo
Miron,Lorena Costa
Oliveira,Vanessa de Lucas
Aranha,Gabriel Lunardi
author_role author
author2 Podda,Mauro
Veiga,Sabrina Carpanez
Cabral,Tayenne do Vale
Lima,Luiza Verardo
Miron,Lorena Costa
Oliveira,Vanessa de Lucas
Aranha,Gabriel Lunardi
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gomes,Carlos Augusto
Podda,Mauro
Veiga,Sabrina Carpanez
Cabral,Tayenne do Vale
Lima,Luiza Verardo
Miron,Lorena Costa
Oliveira,Vanessa de Lucas
Aranha,Gabriel Lunardi
dc.subject.por.fl_str_mv Inflammatory bowel diseases
Emergencies
Complications
topic Inflammatory bowel diseases
Emergencies
Complications
description Abstract Objective To review the main acute complications of inflammatory bowel disease in order to present the state of the art of their respective diagnosis and treatment. Methods A bibliographic search was conducted in Medline database using the following keywords: “inflammatory bowel disease”, “Colitis Ulcerative”, “Crohn Disease”, “emergency” among others that had their variation evaluated by the MESH. Articles from the last 10 years conducted with humans, written in Portuguese or English, and published in journals with impact factor greater than 1 were selected. Results After carrying out the search phrase and selecting the filters, 20 articles were selected to be included in the research. The most common acute complications were evaluated, focusing on their current propaedeutic and management aspects. Conclusion Most emergencies related to inflammatory bowel disease should be treated non-operatively firstly, prioritizing patient hemodynamic state. In selected cases of life-threatening complications emergent operative treatment are mandatory. The timing of procedure is the most important aspect. As general rule, in Crohn’s Disease, operative treatment should be postponed as much as possible and the resection as small as possible. In case of ulcerative rectocolitis, if the hemodynamic state of the patient allows, proctocolectomy should be expedited with curative intention.
publishDate 2020
dc.date.none.fl_str_mv 2020-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.jcol.2019.10.012
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.40 n.1 2020
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
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reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
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