What are the World Gastroenterology Organization (WGO) recommendations for tapering corticosteroids prior to surgery for inflammatory bowel disease (IBD)?

Updated: Oct 17, 2017
  • Author: William A Rowe, MD; Chief Editor: BS Anand, MD  more...
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Answer

The World Gastroenterology Organization (WGO) recommendations for tapering corticosteroids depend on the duration of corticosteroid use, as follows [1] :

  • Less than 1 month: abrupt cessation postoperatively is allowed

  • 1-3 months, with a dose of 20 mg/day or greater: taper by 5 mg/day per week after surgery

  • 3-6 months: taper by 2.5 mg/day per week

  • More than 6 months: taper slowly, at 1 mg/wk or less once the dose is 10 mg/day


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