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.
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.
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: 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: 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: D003106:Colon / Q000473:pathology / Q000601:surgery; D003110:Colonic Neoplasms / Q000209:etiology / Q000601:surgery; D003107:Colorectal Surgery / Q000592:standards*; D032921:Consensus; D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000145:classification / Q000150:complications / Q000601:surgery*; D003697:Delphi Technique; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D055317:Evidence-Based Practice; D006801:Humans; D007081:Ileostomy / Q000379:methods; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery; D007558:Italy; D010535:Laparoscopy / Q000379:methods; D017410:Practice Guidelines as Topic; D012812:Sigmoidoscopy / Q000379:methods
keywords: Crohn’s disease; Guidelines; Inflammatory bowel disease; Surgery