Journal
COLORECTAL DISEASE
Volume 25, Issue 2, Pages 282-288Publisher
WILEY
DOI: 10.1111/codi.16342
Keywords
Colorectal surgery; Crohn's disease; Inflammatory Bowel Disease
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This study conducted a survey on the use of photo-documentation in Crohn's disease surgery, and identified appropriate items for intraoperative photo-documentation. It concluded that photo-documentation can be beneficial for training, research, quality control, and tertiary referrals.
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 photo-documentation in Crohn's disease for training, research, quality control and tertiary referrals. Reviewers agreed that intraoperative staging required photo-documentation 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.
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