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Acute Complications of Inflammatory Bowel Disease

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The SAGES Manual of Acute Care Surgery

Abstract

Inflammatory bowel disease (IBD) poses a challenging problem for the general surgeon. Despite advances in medical management, ulcerative colitis (UC) and Crohn’s disease (CD) often present with acute and emergent surgical issues. Surgical intervention is generally reserved for failed medical therapy or complications of the disease. The complications that may require urgent surgical intervention include hemorrhage, acute severe colitis, perforation, obstruction, abscess, and fistula disease. For patients with colonic emergencies, an abdominal colectomy with end ileostomy is recommended. Laparoscopy can be safe and beneficial in IBD patients and should be considered in the emergency setting.

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Author information

Authors and Affiliations

  1. General Surgery, Tripler Army Medical Center, Honolulu, HI, USA

    Kenneth Bogenberger & Robert Conrad

  2. Department of Surgery, Tripler Army Medical Center, Honolulu, HI, USA

    Suzanne Gillern

Authors
  1. Kenneth Bogenberger
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  2. Robert Conrad
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  3. Suzanne Gillern
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Corresponding author

Correspondence to Suzanne Gillern .

Editor information

Editors and Affiliations

  1. Division of General Surgery, The Ohio State University, Columbus, OH, USA

    David Renton

  2. Tripler Army Medical Center Surgery, Honolulu, HI, USA

    Robert Lim

  3. Baptist Health Louisville, Louisville, KY, USA

    Alberto S. Gallo

  4. NYU Langone Hospital – Brooklyn, NYU Langone Health, New York, NY, USA

    Prashant Sinha

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© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

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Bogenberger, K., Conrad, R., Gillern, S. (2020). Acute Complications of Inflammatory Bowel Disease. In: Renton, D., Lim, R., Gallo, A., Sinha, P. (eds) The SAGES Manual of Acute Care Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-21959-8_12

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  • DOI: https://doi.org/10.1007/978-3-030-21959-8_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-21958-1

  • Online ISBN: 978-3-030-21959-8

  • eBook Packages: MedicineMedicine (R0)

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