Despite the current therapeutic options for the treatment of inflammatory bowel disease, surgery is still frequently required in the emergency setting, although the number of cases performed seems to have decreased in recent years. The World Society of Emergency Surgery decided to debate in a consensus conference of experts, the main pertinent issues around the management of inflammatory bowel disease in the emergent situation, with the need to provide focused guidelines for acute care and emergency surgeons. A group of experienced surgeons and gastroenterologists were nominated to develop the topics assigned and answer the questions addressed by the Steering Committee of the project. Each expert followed a precise analysis and grading of the studies selected for review. Statements and recommendations were discussed and voted at the Consensus Conference of the 6th World Society of Emergency Surgery held in Nijmegen (The Netherlands) in June 2019. Complicated inflammatory bowel disease requires a multidisciplinary approach because of the complexity of this patient group and disease spectrum in the emergency setting, with the aim of obtaining safe surgery with good functional outcomes and a decreasing stoma rate where appropriate.

中文翻译：

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WSES-AAST 指南：紧急情况下炎症性肠病的管理

尽管目前有治疗炎症性肠病的治疗选择，但在紧急情况下仍然经常需要进行手术，尽管近年来进行的病例数似乎有所减少。世界急诊外科学会决定在专家共识会议上讨论紧急情况下炎症性肠病管理的主要相关问题，并需要为急症护理和急诊外科医生提供有针对性的指南。一组经验丰富的外科医生和胃肠病学家被提名开发指定的主题并回答项目指导委员会提出的问题。每位专家都对选定供审查的研究进行了精确的分析和评分。声明和建议于 2019 年 6 月在奈梅亨（荷兰）举行的第六届世界急诊外科学会共识大会上进行了讨论和投票。复杂性炎症性肠病需要采取多学科方法，因为该患者群体和疾病谱的复杂性。紧急情况下，目的是获得安全的手术，具有良好的功能结果，并酌情降低造口率。