Peri-Operative Optimization of Patients with Crohn's Disease

Overview

Journal Curr Gastroenterol Rep

Specialty Gastroenterology

Date 2024 Feb 29

PMID 38421577

Authors

Hareem Syed

Ahmed Nadeem

David Gardinier

Kendra Weekley

Dovid Ribakow

Stephen Lupe

Shubha Bhat

Stefan Holubar

Benjamin L Cohen

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: The management of patients with Crohn's disease (CD) undergoing surgery is complex and optimization of modifiable factors perioperatively can improve outcomes. This review focuses on the perioperative management of CD patients undergoing surgery, emphasizing the need for a multi-disciplinary approach.

Recent Findings: Research highlights the benefits of a comprehensive strategy, involving nutritional optimization, psychological assessment, and addressing septic complications before surgery. Despite many CD patients being on immune-suppressing medications, studies indicate that most of these medications are safe to use and should not delay surgery. However, a personalized approach for each case is needed. This review underscores the importance of multi-disciplinary team led peri-operative management of CD patients. We suggest that this can be done at a dedicated perioperative clinic for prehabilitation, with the potential to enhance outcomes for CD patients undergoing surgery.

Citing Articles

Advancing perioperative optimization in Crohn's disease surgery with machine learning predictions.

Nardone O, Castiglione F, Maurea S World J Gastrointest Surg. 2024; 16(10):3091-3093.

PMID: 39575292 PMC: 11577385. DOI: 10.4240/wjgs.v16.i10.3091.

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