In 2019, the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST) generated consensus recommendations for the treatment of anorectal emergencies in Parma, Italy, and published a guideline in 2021. This is the first global guideline dealing with this important topic for surgeons\' everyday work. Seven anorectal emergencies were discussed and the guideline recommendations were given according to the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system.
UNASSIGNED: Die World Society of Emergency Surgery (WSES) und die American Association for the Surgery of Trauma (AAST) haben 2019 im Rahmen der WSES-AAST-Konsensuskonferenz in Parma, Italien die Erstauflage der Leitlinie zur Diagnostik und Therapie anorektaler Notfälle verabschiedet und 2021 publiziert. Dabei handelt es sich um die erste globale Leitlinie zu diesem für den Chirurgen so relevanten Thema. Dabei wurden sieben Erkrankungen diskutiert und die entsprechenden Therapieempfehlungen nach dem GRADE-Konzept (Grading of Recommendations Assessment, Development and Evaluation) ausgesprochen.

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.