J Crohns Colitis. 2024 Jun 15:jjae089. doi: 10.1093/ecco-jcc/jjae089. Online ahead of print.

Michel Adamina ^1 2, Silvia Minozzi ³, Janindra Warusavitarne ⁴, Christianne Buskens ⁵, Maria Chaparro ⁶, Bram Verstockt ⁷, Uri Kopylov ⁸, Manasi Agrawal ⁹, Mariangela Allocca ¹⁰, Raja Atreya ^11 12, Robert Battat ¹³, Dominik Bettenworth ¹⁴, Gabriele Bislenghi ¹⁵, Steven Ross Brown ¹⁶, Johan Burisch ¹⁷, María José Casanova ^18 19, Wladyslawa Czuber-Dochan ²⁰, Joline de Groof ²¹, Alaa El-Hussuna ²², Pierre Ellul ²³, Catarina Fidalgo ²⁴, Gionata Fiorino ²⁵, Javier Gisbert ²⁶, João Guedelha Sabino ²⁷, Jurij Hanzel ²⁸, Stefan Holubar ²⁹, Marietta Iacucci ³⁰, Nusrat Iqbal ³¹, Christina Kapizioni ³², Konstantinos Karmiris ^33 34, Taku Kobayashi ³⁵, Paulo Gustavo Kotze ³⁶, Gaetano Luglio ³⁷, Christian Maaser ³⁸, Gordon Moran ³⁹, Nurulamin Noor ⁴⁰, Konstantinos Papamichail ⁴¹, Georgios Peros ⁴², Catherine Reenaers ⁴³, Giuseppe Sica ⁴⁴, Rotem Sigall-Boneh ⁴⁵, Stephan R Vavricka ⁴⁶, Henit Yanai ^47 48, Tim Raine ⁴⁹, Hannah Gordon ⁵⁰, Pär Myrelid ⁵¹

Author information

¹Department of Surgery, Cantonal Hospital of Fribourg & Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.

²Department of Visceral and Thoracic Surgery, Kantonsspital Winterthur, Winterthur, Switzerland.

³Department of Epidemiology, Lazio Regional Health Service, Rome, Italy.

⁴St Mark's Hospital London; United Kingdom.

⁵Department of Surgery, Amsterdam UMC, Location VUMC, Amsterdam, The Netherlands.

⁶Gastroenterology Department. Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid; Spain.

⁷Department Gastroenterology & Hepatology, University Hospitals Leuven, KU Leuven and Dpt. Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.

⁸Department of Gastroenterology, Sheba Medical Center, Ramat Gan, Israel.

⁹IBD Center, Division of Gastroenterology, Rabin Medical Center, Petah Tikva; Faculty of Medicine, Tel Aviv University, Tel Aviv; Israel.

¹⁰Department of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.

¹¹Pediatric Gastroenterology and Nutrition Unit, The E. Wolfson Medical Center, Holon, Israel.

¹²Tytgat Institute for Liver and Intestinal Research, Amsterdam Gastroenterology Endocrinology and Metabolism, University of Amsterdam, Amsterdam, the Netherlands.

¹³Department of Surgery, Università Tor Vergata, Roma, Italy.

¹⁴Gastroenterology Department, Chu Liege, Liege, Belgium.

¹⁵Department of Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland.

¹⁶Center for Inflammatory Bowel Diseases, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

¹⁷Department of Medicine, University of Cambridge, Cambridge, United Kingdom.

¹⁸National Institute of Health Research Nottingham Biomedical Research Centre, University of Nottingham and Nottingham University Hospitals, Nottingham.

¹⁹Translational Medical Sciences, School of Medicine, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham. NG7 2UH. United Kingdom.

²⁰Outpatients Department of Gastroenterology, University Teaching Hospital Lueneburg, Germany.

²¹Department of Public Health, University of Naples Federico II, Naples, Italy.

²²Health Sciences Postgraduate Program, Pontificia Universidade Católica do Paraná (PUCPR), Curitiba, Brazil.

²³Center for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.

²⁴Department of Gastroenterology, Venizeleio General Hospital, Heraklion, Greece.

²⁵Department of Gastroenterology, Attikon University Hospital, Athens, Greece.

²⁶Department of Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, UK.

²⁷APC Microbiome Ireland, College of Medicine and Health, University College of Cork, Cork, Ireland.

²⁸Department of Colon & Rectal Surgery, Cleveland Clinic, Cleveland, Ohio, USA.

²⁹Department of Gastroenterology, University Medical Centre Ljubljana, Ljubljana; Chair of Internal Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

³⁰Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.

³¹Gastroenterology Department. Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.

³²IBD Unit, San Camillo-Forlanini Hospital, Rome, Italy.

³³Division of Gastroenterology, Hospital Beatriz Ângelo, Loures, Portugal.

³⁴Division of Gastroenterology, Hospital da Luz, Lisboa, Portugal.

³⁵Division of Gastroenterology, Mater Dei Hospital, Malta.

³⁶OpenSourceResearch Organization (OSRC.Network), Aalborg, Denmark.

³⁷Colorectal Surgery, Royal Surrey NHS Foundation Trust, Guildford, UK.

³⁸Florence Nightingale Faculty of Nursing- Midwifery and Palliative Care, King's College London, London, United Kingdom.

³⁹Gastroenterology Department. Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid. Spain.

⁴⁰Gastrounit, Medical Division, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre; Copenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark.

⁴¹Department of Surgery, Sheffield Teaching Hospitals, Sheffield UK.

⁴²Department of Abdominal Surgery, University Hospitals Leuven, Belgium.

⁴³CED Schwerpunktpraxis, Münster and Medical Faculty of the University of Münster, Münster, NRW, Germany.

⁴⁴Division of Gastroenterology, Centre Hospitalier de l'Université de Montréal, Montreal, Canada.

⁴⁵First Department of Medicine, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.

⁴⁶IRCCS Hospital San Raffaele and University Vita-Salute San Raffaele, Gastroenterology and Endoscopy, Milan, Italy.

⁴⁷The Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

⁴⁸Center for Molecular Prediction of Inflammatory Bowel Disease (PREDICT), Department of Clinical Medicine, Aalborg University, Copenhagen, Denmark.

⁴⁹Department of Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.

⁵⁰Translational Gastroenterology and Liver Unit, University of Oxford, Oxford, UK.

⁵¹Department of Surgery and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Abstract

This article is the second in a series of two publications on the European Crohn's and Colitis Organisation [ECCO] evidence-based consensus on the management of Crohn's disease. The first article covers medical management; the present article addresses surgical management, including preoperative aspects and drug management before surgery. It also provides technical advice for a variety of common clinical situations. Both articles together represent the evidence-based recommendations of the ECCO for Crohn's disease and an update of prior ECCO guidelines.