University of Limerick
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SupportiNg operAtive photographic documentation in ileocolonic CROHN's disease surgery: The SNAPCROHN study

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journal contribution
posted on 2023-03-13, 10:21 authored by Valerio Celentano, Michel Adamina, Antonino Spinelli, Phillip Fleshner, Gianluca Pellino, Michela Mineccia, Francesco Selvaggi, Magali Svrcek, Phil Tozer, Eloy Espin-Basany, Laura Hancock, Omar Faiz, JOHN CALVIN COFFEYJOHN CALVIN COFFEY, Gianluca M. Sampietro

Background: There are reported variations in the intraoperative management of Crohn's disease. This consensus statement aimed to develop a standardised protocol for photographic documentation of intraoperative findings and critical procedural steps in ileocolonic Crohn's disease surgery.

Methods: Colorectal surgeons with a specialist interest in minimally invasive surgery and inflammatory bowel disease were invited as committee members to develop a survey on the use of photo-documentation in Crohn's disease surgery. A 15 item survey was developed on ethical considerations and applications of photo-documentation in audit and quality control, research, and training.

Results: There was strong agreement on the potential application of intraoperative photodocumentation in Crohn's disease for training, research, quality control and tertiary referrals. Reviewers agreed that intraoperative staging required photo-documentat of strictures, skip lesions, perforations, fat wrapping and mesenteric disease. The necessary steps to be photo-documented were very specific to Crohn's disease surgery, such as views of anastomosis and strictureplasties, and extent of resection(s).

Conclusions: Our consensus statement identified several items for appropriate intraoperative photo-documentation in Crohn's disease surgery, to be used as an adjunct to accurate annotation of intraoperative findings and procedures.



Colorectal Disease, 25: 282– 288


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