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Innovations in the Surgical Treatment of Inflammatory Bowel Disease

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Inflammatory Bowel Disease

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Intestinal resections in Crohn’s disease should remove the gross margins of ­disease with a 2-cm margin of normal bowel; extended resection of microscopic disease does not affect recurrence rate. Bowel-sparing strictureplasties are important advances in the surgical management of small bowel Crohn’s disease, particularly in patients requiring resection of multiple segments or in preventing short bowel syndrome. A laparoscopic approach to certain surgeries may speed the recovery and lessen complications in IBD patients. The potential advantages of laparoscopic IBD surgery are not sufficient to warrant a strategy of earlier surgical intervention. Multiple factors determine the choice of surgery in patients with ulcerative colitis, including patient frailty, continence, and procedure-related expertise and complications. The presence of colon cancer or dysplasia in a patient with ulcerative colitis may impact the choice of surgical technique and increase the need for endoscopic surveillance of the ileoanal pouch.

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Authors and Affiliations

  1. University of Chicago Pritzker School of Medicine, 5841 South Maryland Avenue, MC 5095, Chicago, IL, 60637, USA

    Roger Hurst

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  1. Roger Hurst
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Correspondence to Roger Hurst .

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Editors and Affiliations

  1. MC 4076, Sect. Of GE, Hepatol. & Nutr., Department of Medicine, University of Chicago Medical Center, S. Maryland Ave. 5841, Chicago, 60637, Illinois, USA

    Russell D. Cohen

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Hurst, R. (2011). Innovations in the Surgical Treatment of Inflammatory Bowel Disease. In: Cohen, R. (eds) Inflammatory Bowel Disease. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-433-3_11

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  • DOI: https://doi.org/10.1007/978-1-60327-433-3_11

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60327-432-6

  • Online ISBN: 978-1-60327-433-3

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