{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T19:54:33Z","timestamp":1769802873758,"version":"3.49.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,29]]},"DOI":"10.7759\/cureus.102605","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T06:20:36Z","timestamp":1769754036000},"source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Versus Open Surgery for Acute Severe Colitis and Fulminant Colitis: A Systematic Review and Meta-Analysis"],"prefix":"10.7759","author":[{"given":"Bourhan","family":"Alrayes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid B","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raneem I","family":"Osman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah S","family":"Shaqrun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amjad","family":"Alsharif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaheen S","family":"Almusthi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrahman K","family":"Alshuaib","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwa","family":"Aldoubali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali S","family":"Metwaly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002037","article-title":"The American Society of Colon and Rectal Surgeons clinical practice guidelines for the surgical management of ulcerative colitis","volume":"64","author":"Holubar SD","year":"2021","unstructured":"Holubar SD, Lightner AL, Poylin V, et al.. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the surgical management of ulcerative colitis. Dis Colon Rectum. 2021, 64:783-804. 10.1097\/DCR.0000000000002037","journal-title":"Dis Colon Rectum"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-22599-4_82","article-title":"Inflammatory bowel disease","author":"Meyer J","year":"2023","unstructured":"Meyer J, Davies J. Inflammatory bowel disease. Textbook of Emergency General Surgery. Coccolini F, Catena F (ed): Springer, Cham; 2023. 1187-206. 10.1007\/978-3-031-22599-4_82"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-66049-9_49","article-title":"Ulcerative colitis: surgical management","author":"Zaghiyan KN","year":"2022","unstructured":"Zaghiyan KN, Fleshner PR. Ulcerative colitis: surgical management. The ASCRS Textbook of Colon and Rectal Surgery. Steele SR, Hull TL, Hyman N, Maykel JA, Read TE, Whitlow CB (ed): Springer, Cham; 2022. 835-50. 10.1007\/978-3-030-66049-9_49"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjx008","article-title":"Third European evidence-based consensus on diagnosis and management of ulcerative colitis. Part 1: definitions, diagnosis, extra-intestinal manifestations, pregnancy, cancer surveillance, surgery, and ileo-anal pouch disorders","volume":"11","author":"Magro F","year":"2017","unstructured":"Magro F, Gionchetti P, Eliakim R, et al.. Third European evidence-based consensus on diagnosis and management of ulcerative colitis. Part 1: definitions, diagnosis, extra-intestinal manifestations, pregnancy, cancer surveillance, surgery, and ileo-anal pouch disorders. J Crohns Colitis. 2017, 11:649-70. 10.1093\/ecco-jcc\/jjx008","journal-title":"J Crohns Colitis"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjab177","article-title":"ECCO guidelines on therapeutics in ulcerative colitis: surgical treatment","volume":"16","author":"Spinelli A","year":"2022","unstructured":"Spinelli A, Bonovas S, Burisch J, et al.. ECCO guidelines on therapeutics in ulcerative colitis: surgical treatment. J Crohns Colitis. 2022, 16:179-89. 10.1093\/ecco-jcc\/jjab177","journal-title":"J Crohns Colitis"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-96286-3_18","article-title":"Inflammatory bowel disease","author":"Wickham C","year":"2019","unstructured":"Wickham C, Lee SW. Inflammatory bowel disease. Emergency General Surgery. Brown C, Inaba K, Martin M, Salim A (ed): Springer, Cham; 2019. 223-31. 10.1007\/978-3-319-96286-3_18"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjz187","article-title":"ECCO guidelines on therapeutics in Crohn\u2019s disease: surgical treatment","volume":"14","author":"Adamina M","year":"2020","unstructured":"Adamina M, Bonovas S, Raine T, et al.. ECCO guidelines on therapeutics in Crohn\u2019s disease: surgical treatment. J Crohns Colitis. 2020, 14:155-68. 10.1093\/ecco-jcc\/jjz187","journal-title":"J Crohns Colitis"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-22599-4_83","article-title":"Fulminant\/toxic colitis","author":"Marwah S","year":"2023","unstructured":"Marwah S, Godara R, Das S. Fulminant\/toxic colitis. Textbook of Emergency General Surgery. Coccolini F, Catena F (ed): Springer, Cham; 2023. 1207-25. 10.1007\/978-3-031-22599-4_83"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et al.. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021, 372:n71. 10.1136\/bmj.n71","journal-title":"BMJ"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1177\/001316446002000104","article-title":"A coefficient of agreement for nominal scales","volume":"20","author":"Cohen J","year":"1960","unstructured":"Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960, 20:37-46. 10.1177\/001316446002000104","journal-title":"Educ Psychol Meas"},{"key":"ref11","article-title":"The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses","author":"Wells GA","year":"2014","unstructured":"Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M, Tugwell P. The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses. Ottawa Hospital Research Institute, 2014."},{"key":"ref12","unstructured":"The R Project for Statistical Computing. (2025). https.\/\/www.R-project.org\/."},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90046-2","article-title":"Meta-analysis in clinical trials","volume":"7","author":"DerSimonian R","year":"1986","unstructured":"DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986, 7:177-88. 10.1016\/0197-2456(86)90046-2","journal-title":"Control Clin Trials"},{"key":"ref14","article-title":"Statistical aspects of the analysis of data from retrospective studies of disease","volume":"22","author":"Mantel N","year":"1959","unstructured":"Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959, 22:719-48.","journal-title":"J Natl Cancer Inst"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/C2009-0-03396-0","article-title":"Statistical Methods for Meta-Analysis","author":"Hedges LV","year":"1985","unstructured":"Hedges LV, Olkin I. Statistical Methods for Meta-Analysis. Academic Press, 1985. 10.1016\/C2009-0-03396-0"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan X","year":"2014","unstructured":"Wan X, Wang W, Liu J, Tong T. Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range. BMC Med Res Methodol. 2014, 14:135. 10.1186\/1471-2288-14-135","journal-title":"BMC Med Res Methodol"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-5-13","article-title":"Estimating the mean and variance from the median, range, and the size of a sample","volume":"5","author":"Hozo SP","year":"2005","unstructured":"Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol. 2005, 5:13. 10.1186\/1471-2288-5-13","journal-title":"BMC Med Res Methodol"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"Higgins JP","year":"2003","unstructured":"Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003, 327:557-60. 10.1136\/bmj.327.7414.557","journal-title":"BMJ"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1164","article-title":"Methods to estimate the between-study variance and its uncertainty in meta-analysis","volume":"7","author":"Veroniki AA","year":"2016","unstructured":"Veroniki AA, Jackson D, Viechtbauer W, et al.. Methods to estimate the between-study variance and its uncertainty in meta-analysis. Res Synth Methods. 2016, 7:55-79. 10.1002\/jrsm.1164","journal-title":"Res Synth Methods"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010247","article-title":"Plea for routinely presenting prediction intervals in meta-analysis","volume":"6","author":"IntHout J","year":"2016","unstructured":"IntHout J, Ioannidis JP, Rovers MM, Goeman JJ. Plea for routinely presenting prediction intervals in meta-analysis. BMJ Open. 2016, 6:e010247. 10.1136\/bmjopen-2015-010247","journal-title":"BMJ Open"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger M","year":"1997","unstructured":"Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997, 315:629-34. 10.1136\/bmj.315.7109.629","journal-title":"BMJ"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt GH","year":"2008","unstructured":"Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Sch\u00fcnemann HJ. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008, 336:924-6. 10.1136\/bmj.39489.470347.AD","journal-title":"BMJ"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s004640000262","article-title":"Laparoscopic-assisted vs open colectomy for severe acute colitis in patients with inflammatory bowel disease (IBD): a retrospective study in 42 patients","volume":"14","author":"Dunker MS","year":"2000","unstructured":"Dunker MS, Bemelman WA, Slors JF, van Hogezand RA, Ringers J, Gouma DJ. Laparoscopic-assisted vs open colectomy for severe acute colitis in patients with inflammatory bowel disease (IBD): a retrospective study in 42 patients. Surg Endosc. 2000, 14:911-14. 10.1007\/s004640000262","journal-title":"Surg Endosc"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234595","article-title":"Laparoscopic total colectomy for acute colitis: a case-control study","volume":"44","author":"Marcello PW","year":"2001","unstructured":"Marcello PW, Milsom JW, Wong SK, Brady K, Goormastic M, Fazio VW. Laparoscopic total colectomy for acute colitis: a case-control study. Dis Colon Rectum. 2001, 44:1441-5. 10.1007\/BF02234595","journal-title":"Dis Colon Rectum"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s004640000356","article-title":"Does a laparoscopic approach to total abdominal colectomy and proctocolectomy offer advantages?","volume":"15","author":"Seshadri PA","year":"2001","unstructured":"Seshadri PA, Poulin EC, Schlachta CM, Cadeddu MO, Mamazza J. Does a laparoscopic approach to total abdominal colectomy and proctocolectomy offer advantages?. Surg Endosc. 2001, 15:837-42. 10.1007\/s004640000356","journal-title":"Surg Endosc"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-8300-x","article-title":"Laparoscopic treatment of fulminant ulcerative colitis","volume":"16","author":"Bell RL","year":"2002","unstructured":"Bell RL, Seymour NE. Laparoscopic treatment of fulminant ulcerative colitis. Surg Endosc. 2002, 16:1778-82. 10.1007\/s00464-001-8300-x","journal-title":"Surg Endosc"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2006.12.012","article-title":"Laparoscopic subtotal colectomy for acute or severe colitis complicating inflammatory bowel disease: a case-matched study in 88 patients","volume":"141","author":"Marceau C","year":"2007","unstructured":"Marceau C, Alves A, Ouaissi M, Bouhnik Y, Valleur P, Panis Y. Laparoscopic subtotal colectomy for acute or severe colitis complicating inflammatory bowel disease: a case-matched study in 88 patients. Surgery. 2007, 141:640-4. 10.1016\/j.surg.2006.12.012","journal-title":"Surgery"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3181772d75","article-title":"Laparoscopic 3-step restorative proctocolectomy: comparative study with open approach in 45 patients","volume":"18","author":"Oua\u00efssi M","year":"2008","unstructured":"Oua\u00efssi M, Lefevre JH, Bretagnol F, Alves A, Valleur P, Panis Y. Laparoscopic 3-step restorative proctocolectomy: comparative study with open approach in 45 patients. Surg Laparosc Endosc Percutan Tech. 2008, 18:357-62. 10.1097\/SLE.0b013e3181772d75","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e31819d47b5","article-title":"Hand-assisted laparoscopic vs. open subtotal colectomy for severe ulcerative colitis","volume":"52","author":"Watanabe K","year":"2009","unstructured":"Watanabe K, Funayama Y, Fukushima K, Shibata C, Takahashi K, Sasaki I. Hand-assisted laparoscopic vs. open subtotal colectomy for severe ulcerative colitis. Dis Colon Rectum. 2009, 52:640-5. 10.1007\/DCR.0b013e31819d47b5","journal-title":"Dis Colon Rectum"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181975701","article-title":"Laparoscopic vs. open total abdominal colectomy for severe colitis: impact on recovery and subsequent completion restorative proctectomy","volume":"52","author":"Chung TP","year":"2009","unstructured":"Chung TP, Fleshman JW, Birnbaum EH, Hunt SR, Dietz DW, Read TE, Mutch MG. Laparoscopic vs. open total abdominal colectomy for severe colitis: impact on recovery and subsequent completion restorative proctectomy. Dis Colon Rectum. 2009, 52:4-10. 10.1007\/DCR.0b013e3181975701","journal-title":"Dis Colon Rectum"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0819-2","article-title":"Laparoscopic subtotal colectomy for medically refractory ulcerative colitis: the time has come","volume":"24","author":"Telem DA","year":"2010","unstructured":"Telem DA, Vine AJ, Swain G, et al.. Laparoscopic subtotal colectomy for medically refractory ulcerative colitis: the time has come. Surg Endosc. 2010, 24:1616-20. 10.1007\/s00464-009-0819-2","journal-title":"Surg Endosc"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1880-1","article-title":"Less adhesiolysis and hernia repair during completion proctocolectomy after laparoscopic emergency colectomy for ulcerative colitis","volume":"26","author":"Bartels SA","year":"2012","unstructured":"Bartels SA, Vlug MS, Henneman D, Ponsioen CY, Tanis PJ, Bemelman WA. Less adhesiolysis and hernia repair during completion proctocolectomy after laparoscopic emergency colectomy for ulcerative colitis. Surg Endosc. 2012, 26:368-73. 10.1007\/s00464-011-1880-1","journal-title":"Surg Endosc"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12330","article-title":"Complications after laparoscopic and open subtotal colectomy for inflammatory colitis: a case-matched comparison","volume":"15","author":"Parnaby CN","year":"2013","unstructured":"Parnaby CN, Ramsay G, Macleod CS, Hope NR, Jansen JO, McAdam TK. Complications after laparoscopic and open subtotal colectomy for inflammatory colitis: a case-matched comparison. Colorectal Dis. 2013, 15:1399-405. 10.1111\/codi.12330","journal-title":"Colorectal Dis"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3218-7","article-title":"Total abdominal colectomy for severe ulcerative colitis: does the laparoscopic approach really have benefit?","volume":"28","author":"Gu J","year":"2014","unstructured":"Gu J, Stocchi L, Remzi FH, Kiran RP. Total abdominal colectomy for severe ulcerative colitis: does the laparoscopic approach really have benefit?. Surg Endosc. 2014, 28:617-25. 10.1007\/s00464-013-3218-7","journal-title":"Surg Endosc"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13658","article-title":"Subtotal colectomy for ulcerative colitis: lessons learned from a tertiary centre","volume":"19","author":"Buchs NC","year":"2016","unstructured":"Buchs NC, Bloemendaal ALA, Wood CPJ, Travis S, Mortensen NJ, Guy RJ, George BD. Subtotal colectomy for ulcerative colitis: lessons learned from a tertiary centre. Colorectal Dis. 2016, 19:153-61. 10.1111\/codi.13658","journal-title":"Colorectal Dis"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.03.058","article-title":"The reduced risk of septic shock\/sepsis with laparoscopic surgery among ulcerative colitis patients with preoperative chronic steroid use","volume":"170","author":"Lo BD","year":"2021","unstructured":"Lo BD, Stem M, Zhang GQ, et al.. The reduced risk of septic shock\/sepsis with laparoscopic surgery among ulcerative colitis patients with preoperative chronic steroid use. Surgery. 2021, 170:1047-53. 10.1016\/j.surg.2021.03.058","journal-title":"Surgery"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2006.00971.x","article-title":"Laparoscopic surgery for ulcerative colitis - a meta-analysis","volume":"8","author":"Tan JJ","year":"2006","unstructured":"Tan JJ, Tjandra JJ. Laparoscopic surgery for ulcerative colitis - a meta-analysis. Colorectal Dis. 2006, 8:626-36. 10.1111\/j.1463-1318.2006.00971.x","journal-title":"Colorectal Dis"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-006-0177-7","article-title":"Comparison of short-term outcomes of laparoscopic vs open approaches to ileal pouch surgery","volume":"22","author":"Tilney HS","year":"2007","unstructured":"Tilney HS, Lovegrove RE, Heriot AG, Purkayastha S, Constantinides V, Nicholls RJ, Tekkis PP. Comparison of short-term outcomes of laparoscopic vs open approaches to ileal pouch surgery. Int J Colorectal Dis. 2007, 22:531-42. 10.1007\/s00384-006-0177-7","journal-title":"Int J Colorectal Dis"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2016.7","article-title":"Systematic review and meta-analysis: infliximab or cyclosporine as rescue therapy in patients with severe ulcerative colitis refractory to steroids","volume":"111","author":"Narula N","year":"2016","unstructured":"Narula N, Marshall JK, Colombel JF, Leontiadis GI, Williams JG, Muqtadir Z, Reinisch W. Systematic review and meta-analysis: infliximab or cyclosporine as rescue therapy in patients with severe ulcerative colitis refractory to steroids. Am J Gastroenterol. 2016, 111:477-91. 10.1038\/ajg.2016.7","journal-title":"Am J Gastroenterol"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7759","article-title":"Adhesions after laparoscopic and open ileal pouch-anal anastomosis surgery for ulcerative colitis","volume":"99","author":"Hull TL","year":"2012","unstructured":"Hull TL, Joyce MR, Geisler DP, Coffey JC. Adhesions after laparoscopic and open ileal pouch-anal anastomosis surgery for ulcerative colitis. Br J Surg. 2012, 99:270-5. 10.1002\/bjs.7759","journal-title":"Br J Surg"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/459421-laparoscopic-versus-open-surgery-for-acute-severe-colitis-and-fulminant-colitis-a-systematic-review-and-meta-analysis","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T06:20:40Z","timestamp":1769754040000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/459421-laparoscopic-versus-open-surgery-for-acute-severe-colitis-and-fulminant-colitis-a-systematic-review-and-meta-analysis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,29]]},"references-count":40,"URL":"https:\/\/doi.org\/10.7759\/cureus.102605","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1,29]]}}}