Περίληψη:
Anorectal emergencies comprise a wide variety of diseases that share
common symptoms, i.e., anorectal pain or bleeding and might require
immediate management. While most of the underlying conditions do not
need inpatient management, some of them could be life-threatening and
need prompt recognition and treatment. It is well known that an
incorrect diagnosis is frequent for anorectal diseases and that a
delayed diagnosis is related to an impaired outcome. This paper aims to
improve the knowledge and the awareness on this specific topic and to
provide a useful tool for every physician dealing with anorectal
emergencies. The present guidelines have been developed according to the
GRADE methodology. To create these guidelines, a panel of experts was
designed and charged by the boards of the World Society of Emergency
Surgery (WSES) and American Association for the Surgery of Trauma (AAST)
to perform a systematic review of the available literature and to
provide evidence-based statements with immediate practical application.
All the statements were presented and discussed during the
WSES-AAST-WJES Consensus Conference on Anorectal Emergencies, and for
each statement, a consensus among the WSES-AAST panel of experts was
reached. We structured our work into seven main topics to cover the
entire management of patients with anorectal emergencies and to provide
an up-to-date, easy-to-use tool that can help physicians and surgeons
during the decision-making process.
Συγγραφείς:
Tarasconi, Antonio
Perrone, Gennaro
Davies, Justin
Coimbra,
Raul
Moore, Ernest
Azzaroli, Francesco
Abongwa, Hariscine
and De Simone, Belinda
Gallo, Gaetano
Rossi, Giorgio and
Abu-Zidan, Fikri
Agnoletti, Vanni
De'Angelis, Gianluigi and
De'Angelis, Nicola
Ansaloni, Luca
Baiocchi, Gian Luca and
Carcoforo, Paolo
Ceresoli, Marco
Chichom-Mefire, Alain
Di
Saverio, Salomone
Gaiani, Federica
Giuffrida, Mario
Hecker,
Andreas
Inaba, Kenji
Kelly, Michael
Kirkpatrick, Andrew and
Kluger, Yoram
Leppaniemi, Ari
Litvin, Andrey
Ordonez, Carlos
and Pattonieri, Vittoria
Peitzman, Andrew
Pikoulis, Manos and
Sakakushev, Boris
Sartelli, Massimo
Shelat, Vishal
Tan,
Edward
Testini, Mario
Velmahos, George
Wani, Imtiaz and
Weber, Dieter
Biffl, Walter
Coccolini, Federico
Catena,
Fausto