Decision making in IBD emergencies
10th December 2025, 19:00 to 20:00 GMT
Overview
This webinar will explore the acute management of surgical inflammatory bowel disease (IBD) emergencies, with a focus on acute severe ulcerative colitis, obstructing Crohn’s disease and complex perianal Crohn’s. Through case-based discussion, with both surgical and gastroenterology input, we will cover guideline-based initial medical therapy, recognition of key clinical and radiological red flags, timely consideration of surgery, and operative strategies.
Aims
- To provide an evidence-based overview of the acute management of IBD emergencies, focusing on ASUC, obstructing Crohn’s disease and peri-anal Crohn’s disease.
- To highlight the importance of early multidisciplinary involvement (gastroenterology, surgery, radiology, nutrition) and clear pathways for escalation of care.
- To improve confidence in recognising complications that require urgent surgical input (e.g. toxic megacolon, perforation, high-grade obstruction, complex perianal sepsis).
- To discuss practical surgical decision-making, including timing of surgery, choice of operative strategy (open vs minimally invasive, strictureplasty, diversion) and planning for future restorative options.
Learning Objectives
By the end of this webinar, attendees should be able to:
- Recognise and initiate guideline-based early medical management for acute severe ulcerative colitis and obstructing Crohn’s disease.
- Identify key clinical and radiological red flags (e.g. toxic megacolon, perforation, high-grade obstruction, complex perianal sepsis) that mandate urgent surgical assessment.
- Describe the principles of surgical decision-making in IBD emergencies, including timing of intervention, choice between open and minimally invasive approaches, and indications for diversion or staged surgery.
- Understand how to contribute effectively within the MDT to plan peri-operative optimisation, nutritional support, and longer-term strategies including restorative and bowel-preserving procedures.
Panellists
Our panellists include:
Mr Valerio Celentano (Chair)
Consultant colorectal & IBD surgeon, Chelsea & Westminster Hospital NHS Trust. Mr Celentano is an honorary senior lecturer with Imperial College London, and the chair of the ACPGBI IBD Subcommittee.
Mr Orestis Argyriou (Chair)
Research fellow in IBD surgery, St Mark’s National Bowel Hospital. Mr Argyriou is a senior colorectal resident in NW London, and the subspecialty rep for IBD & IF for the Dukes’ Club.
Mr Evripidis Tokidis (Chair)
Research fellow in Surgical education, University of Sheffield. Mr Tokidis is a senior colorectal resident in Yorkshire and the Education & Training representative for the Dukes’ Club.
Mr Phil Herrod
Consultant colorectal & IBD surgeon, Royal Derby Hospital. Mr Herrod is an honorary assistant professor with the University of Nottingham.
Dr Shahida Din
Consultant gastroenterologist, NHS Lothian. Dr Din is an honorary senior clinical lecturer with the University of Edinburgh, as well as the chair of the IBD section of BSG.
Ms Kat Baker
Consultant colorectal & IBD surgeon, Oxford University Hospitals. Ms Baker is a member of the ACPGBI IBD Subcommittee and has served as the president of the Dukes’ Club (2017-2018)
CPD
1 Hour
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Recording
A recording of the webinar will be made available on this page in the days following the live broadcast.
