title: A think tank of the Italian Society of Colorectal Surgery (SICCR) on the surgical treatment of inflammatory bowel disease using the Delphi method: ulcerative colitis.
abstract: The majority of patients suffering from ulcerative colitis (UC) are managed successfully with medical treatment, but a relevant number of them will still need surgery at some point in their life. Medical treatments and surgical techniques have changed dramatically in recent years, and available guidelines from relevant societies are rapidly evolving, providing UC experts with updated and valid practical recommendations. However, some aspects of the management of UC patients are still debated, and the application of guidelines in clinical practice may be suboptimal. The Italian Society of Colorectal Surgery (SICCR) sponsored the think tank in order to identify critical aspects of the surgical management of UC in Italy. The present paper reports the results of a think tank of Italian colorectal surgeons concerning surgery for UC and was not developed as an alternative to authoritative guidelines currently available. Members of the SICCR voted on several items proposed by the writing committee, based on evidence from the literature. The results are presented, focusing on points to be implemented. UC management relies on evaluations that need to be individualized, but points of major disagreement reported in this paper should be considered in order to develop strategies to improve the quality of the evidence and the application of guidelines in a clinical setting.
authors.affiliation: Colorectal Surgery Unit, Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Piazza Miraglia, 2, 80138, Naples, Italy. fselvaggi@hotmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Selvaggi
authors.affiliation: Colorectal Surgery Unit, Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Piazza Miraglia, 2, 80138, Naples, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Pellino
authors.affiliation: Department of General and Hepatobiliary Surgery, Policlinico "G.B. Rossi", University of Verona, Verona, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Ghezzi
authors.affiliation: Department of General and Hepatobiliary Surgery, Policlinico "G.B. Rossi", University of Verona, Verona, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Corona
authors.affiliation: Gastroenterology Unit, Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Piazza Miraglia, 2, 80138, Naples, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Riegler
authors.affiliation: Department of Surgery, "Pederzoli" Hospital, Peschiera del Garda, Verona, Italy.
authors.forename: G G
authors.initials: GG
authors.lastname: Delaini
mesh_terms: D003082:Colectomy / Q000379:methods; D003093:Colitis, Ulcerative / Q000601:surgery*; D039021:Colonic Pouches; D003107:Colorectal Surgery / Q000592:standards*; D032921:Consensus; D003697:Delphi Technique; D013505:Digestive System Surgical Procedures / Q000379:methods; D055317:Evidence-Based Practice; D006801:Humans; D007081:Ileostomy / Q000379:methods; D007558:Italy; D017410:Practice Guidelines as Topic; D016737:Proctocolectomy, Restorative / Q000379:methods
keywords: Guidelines; Inflammatory bowel disease; Surgery; Ulcerative colitis