Anorectal emergencies: WSES-AAST guidelines.
Anorectal emergencies: WSES-AAST guidelines.
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DOI：
10.1186/s13017-021-00384-x
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发表时间：
2021-09-16
期刊：
影响因子：
--
通讯作者：
Catena F
中科院分区：
文献类型：
--
作者：
Tarasconi A;Perrone G;Davies J;Coimbra R;Moore E;Azzaroli F;Abongwa H;De Simone B;Gallo G;Rossi G;Abu-Zidan F;Agnoletti V;de'Angelis G;de'Angelis N;Ansaloni L;Baiocchi GL;Carcoforo P;Ceresoli M;Chichom-Mefire A;Di Saverio S;Gaiani F;Giuffrida M;Hecker A;Inaba K;Kelly M;Kirkpatrick A;Kluger Y;Leppäniemi A;Litvin A;Ordoñez C;Pattonieri V;Peitzman A;Pikoulis M;Sakakushev B;Sartelli M;Shelat V;Tan E;Testini M;Velmahos G;Wani I;Weber D;Biffl W;Coccolini F;Catena F
肛门直肠急症包括多种具有共同症状的疾病，即肛门直肠疼痛或出血，可能需要立即治疗。虽然大多数潜在疾病不需要住院治疗，但其中一些可能会危及生命，需要及时识别和治疗。众所周知，肛门直肠疾病的错误诊断很常见，并且延迟诊断与结果受损有关。本文旨在提高对此特定主题的知识和认识，并为每位处理肛门直肠急诊的医生提供有用的工具。本指南是根据 GRADE 方法制定的。为了制定这些指南，世界急诊外科学会 (WSES) 和美国创伤外科协会 (AAST) 董事会设计并任命了一个专家小组，对现有文献进行系统审查，并提供可立即实际应用的基于证据的陈述。所有声明均在 WSES-AAST-WJES 肛肠急症共识会议期间提出和讨论，并且对于每项声明，WSES-AAST 专家小组都达成了共识。我们将工作分为七个主要主题，涵盖肛门直肠急诊患者的整个管理，并提供最新、易于使用的工具，可以在决策过程中帮助内科医生和外科医生。
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.
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影响因子：
4.3
作者：
Ahn, Sung Soo;Kim, Eun Hye;Kim, Seung Up
通讯作者：
Kim, Seung Up
DOI：
10.1111/j.1368-5031.2006.00709.x
发表时间：
2006-06-01
影响因子：
2.6
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
3.9
作者：
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通讯作者：
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影响因子：
--
作者：
Berney, C. R.
通讯作者：
Berney, C. R.