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

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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