Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Dec;50(6):3251-3272.
doi: 10.1007/s00068-024-02526-7. Epub 2024 May 2.

Management of inflammatory bowel disease in the emergency setting: the MIBODI international survey and evidence-based practices

Belinda De Simone  1   2 , Justin Davies  3 , Fikri M Abu-Zidan  4 , Massimo Sartelli  5 , Gianluca Pellino  6   7 , Genevieve Deeken  8 , Walter L Biffl  9 , Nicola De'Angelis  10 , Ernest E Moore  11 , Raul Coimbra  12 , Mibodi Collaborative Group, Fausto Catena  13
Affiliations

Management of inflammatory bowel disease in the emergency setting: the MIBODI international survey and evidence-based practices

Belinda De Simone et al. Eur J Trauma Emerg Surg. 2024 Dec.

Abstract

Aim: This study aimed to evaluate the impact of the WSES-AAST guidelines in clinical practice and to investigate the knowledge, attitudes, and practices of emergency surgeons in managing the complications of ulcerative colitis (UC) and Crohn's disease (CD).

Methods: The MIBODI survey is a cross-sectional study among WSES members designed as an international web-based survey, according to the Checklist for Reporting Results of Internet E-Surveys, to collect data on emergency surgeons' knowledge, attitudes, and practices concerning the management of patients presenting with acute complications of CD and UC. The questionnaire was composed of 30 questions divided into five sections: (1) demographic data, (2) primary evaluation, (3) non-operative management, (4) operative management, and (5) perianal sepsis management.

Results: Two hundred and forty-two surgeons from 48 countries agreed to participate in the survey. The response rate was 24.2% (242/1000 members on WSES mail list). Emergency surgeons showed high adherence to recommendations for 6 of the 21 assessed items, with a "correct" response rate greater than or equal to 60%, according to WSES-AAST recommendations. Nine critical issues were highlighted, with correct answers at a rate of less than 50%.

Conclusions: Inflammatory bowel disease is a complex disease that requires a multidisciplinary approach with close collaboration between gastroenterologists and surgeons. Emergency surgeons play a crucial role in managing complications related to IBD. One year after publication, the MIBODI study showed significant global implementation of the WSES-AAST guidelines in clinical practice, offering an imperative tool in the improved management of IBD in emergency and urgent settings.

Keywords: Adherence; American Association of Surgeons in Trauma; Crohn’s disease; Guidelines; Inflammatory bowel disease; Ulcerative colitis; World Society of Emergency Surgery.

PubMed Disclaimer

Conflict of interest statement

Declarations. Ethics approval and consent to participate: Not required. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Similar articles

See all similar articles

References

    1. Nistor OI, Godfrey C, Ross-White A, Wilson R. Systematic review and meta-analysis on the incidence, prevalence and determinants of discomfort in inflammatory bowel disease. J Can Assoc Gastroenterol. 2021;5(2):96–7. https://doi.org/10.1093/jcag/gwab043 . - DOI - PubMed - PMC
    1. Ng SC, Shi HY, Hamidi N, et al. Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies. Lancet. 2017;390(10114):2769–78. - DOI - PubMed
    1. Mitropoulou MA, Fradelos EC, Lee KY, Malli F, Tsaras K, Christodoulou NG, Papathanasiou IV. Quality of life in patients with inflammatory bowel disease: importance of psychological symptoms. Cureus. 2022;14(8):e28502. https://doi.org/10.7759/cureus.28502 . - DOI - PubMed - PMC
    1. Torres J, Mehandru S, Colombel JF, Peyrin-Biroulet L. Crohn’s disease. Lancet. 2017;389(10080):1741–55. https://doi.org/10.1016/S0140-6736(16)31711-1 . - DOI - PubMed
    1. Segal JP, LeBlanc JF, Hart AL. Ulcerative colitis: an update. Clin Med (Lond). 2021;21(2):135–9. https://doi.org/10.7861/clinmed.2021-0080 . - DOI - PubMed

LinkOut - more resources