• Eur J Trauma Emerg Surg · May 2024

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

    • De SimoneBelindaBDepartment of Emergency Minimally Invasive and Geriatric Surgery, Academic Hospital of Villeneuve St Georges, Villeneuve St Georges, France. desimone.belinda@gmail.com.Department of Digestive and Emergency Surgery, Infermi Hospital, AUSL , Justin Davies, Fikri M Abu-Zidan, Massimo Sartelli, Gianluca Pellino, Genevieve Deeken, Walter L Biffl, Nicola De'Angelis, Ernest E Moore, Raul Coimbra, Mibodi Collaborative Group, and Fausto Catena.
    • Department of Emergency Minimally Invasive and Geriatric Surgery, Academic Hospital of Villeneuve St Georges, Villeneuve St Georges, France. desimone.belinda@gmail.com.
    • Eur J Trauma Emerg Surg. 2024 May 2.

    AimThis 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).MethodsThe 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.ResultsTwo 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%.ConclusionsInflammatory 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.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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