Advances in the surgical management of inflammatory bowel disease

Prathima Nandivada, Vitaliy Poylin, Deborah Nagle*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Purpose of review: The principles of surgical management of inflammatory bowel disease (IBD) continue to evolve with advances in medical therapy, surgical technique, and minimally invasive operative technology. The purpose of this review is to highlight such advances in colorectal and anorectal surgery for IBD over the last year. Recent findings: Treatment of ulcerative colitis and Crohn's disease remains challenging and relies on knowledge of both medical and surgical therapies. Recent data support shorter hospitalization prior to surgical intervention in patients with acute severe ulcerative colitis, laparoscopic surgical approaches when feasible, and ciprofloxacin as optimal therapy for pouchitis, when preventive therapy with probiotics is not successful. Summary: The management of IBD remains complex and highly individualized. In severe cases, a combination of immunosuppression and surgical therapies may be required. However, the associated risks of complications make judgments about optimal treatment plans challenging.

Original languageEnglish (US)
Pages (from-to)47-51
Number of pages5
JournalCurrent Opinion in Gastroenterology
Volume28
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • Anal fistula
  • Anorectal surgery
  • Colorectal surgery
  • Crohn's disease
  • Ulcerative colitis

ASJC Scopus subject areas

  • Gastroenterology

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