ECCO Guidelines on Therapeutics in Ulcerative Colitis: Surgical Treatment

Adamina M, Kienle P, Chaparro M, Verstockt B, Minozzi S, Allocca M, Atreya R, Avellaneda N, Barreiro-De Acosta M, Battat R, Bettenworth D, Blumenstein I, Brown SR, Burke JP, Caprioli F, Casanova MJ, Christou N, De Buck Van Overstraeten A, Doherty G, Eder P, El-Hussuna A, Ellul P, Fantini MC, Furfaro F, Greuter T, Hazel K, Holubar S, Kapizioni C, Kopylov U, Leong RW, Leventoglu S, Limdi JK, Noor NM, Papaconstantinou I, Peros G, Pouillon L, Reenaers C, Saibeni S, Schmidt C, Sousa P, Stassen LP, Uzzan M, Vieujean S, Visser E, Kucharzik T, Gisbert JP, Myrelid P (2026)

Publication Type: Journal article

Publication year: 2026

Journal

Book Volume: 20

Article Number: jjag072

Journal Issue: 6

DOI: 10.1093/ecco-jcc/jjag072

Abstract

This is the second of two articles presenting the European Crohn’s and Colitis Organisation [ECCO] evidence-based consensus guidelines on the management of adult patients with ulcerative colitis [UC]. The first article covers the medical management of UC, including acute severe colitis. The present article addresses the surgical management of medically refractory UC, including the general surgical approach and perioperative optimisation, surgical strategies and techniques, and recommended levels of centre expertise and surgical specialisation. Together, these two articles aim to inform shared decision-making and to guide clinicians and healthcare professionals involved in the care of patients with UC, drawing on the best available evidence.

Authors with CRIS profile

Involved external institutions

Instituto de Investigación Sanitaria Princesa Spain (ES) Inselspital, Universitätsspital Bern Switzerland (CH) Ruprecht-Karls-Universität Heidelberg Germany (DE) University Hospital Leuven (UZ) / Universitaire ziekenhuizen Leuven Belgium (BE) Mario Negri Institute for Pharmacological Research (IRCCS) / Istituto di Ricerche Farmacologiche Mario Negri Italy (IT) Università Vita-Salute San Raffaele (UniSR) Italy (IT) Complejo Hospitalario Universitario de Santiago de Compostela Spain (ES) Université de Montréal Canada (CA) Universitätsklinikum Frankfurt am Main (KGU) Germany (DE) University of Sheffield United Kingdom (GB) Beaumont Hospital Ireland (IE) Università degli studi di Milano Italy (IT) Hospital Center University De Limoges Dupuytren France (FR) Cleveland Clinic United States (USA) (US) St Vincent's University Hospital Ireland (IE) Poznan University of Medical Sciences / Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu Poland (PL) Odda Hospital Helse Fonna HF / Odda Sjukehus Helse Fonna Norway (NO) OpenSourceResearch Denmark (DK) Università degli Studi di Cagliari Italy (IT) Università della Svizzera italiana (USI) Switzerland (CH) Connolly Hospital Blanchardstown / Ospidéal Uí Chonghaile, Baile Bhlainséir Ireland (IE) Case Western Reserve University United States (USA) (US) Athens Medical Center Greece (GR) Chaim Sheba Medical Center at Tel HaShomer / המרכז הרפואי עש חיים שיבא – תל השומר‎‎ Israel (IL) Concord Repatriation General Hospital Australia (AU) Gazi University Turkey (TR) Northern Care Alliance NHS Trust United Kingdom (GB) Cambridge University Hospitals United Kingdom (GB) Aretaeio Private Hospital Greece (GR) Hirslanden AG / Privatklinikgruppe Hirslanden Switzerland (CH) Imelda vzw Belgium (BE) University of Liège (ULg) / Université de Liège Belgium (BE) ASST Rhodense Italy (IT) Klinikum Fulda Germany (DE) Unidade Local de Saúde Viseu Dão-Lafões Portugal (PT) Maastricht University Netherlands (NL) Paris-Est Créteil University / Université Paris-Est Créteil Val-de-Marne (UPEC) / Université Paris XII-Val-de-Marne / University Paris 12 Marne la Vallée France (FR) University of Amsterdam Netherlands (NL) Städtisches Klinikum Lüneburg Germany (DE) Linköpings universitet / Linköping University Sweden (SE)

How to cite

APA:

Adamina, M., Kienle, P., Chaparro, M., Verstockt, B., Minozzi, S., Allocca, M.,... Myrelid, P. (2026). ECCO Guidelines on Therapeutics in Ulcerative Colitis: Surgical Treatment. Journal of Crohns & Colitis, 20(6). https://doi.org/10.1093/ecco-jcc/jjag072

MLA:

Adamina, Michel, et al. "ECCO Guidelines on Therapeutics in Ulcerative Colitis: Surgical Treatment." Journal of Crohns & Colitis 20.6 (2026).

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