Elective Abdominal Surgery for Inflammatory Bowel Disease

Adina E Feinberg; Michael A Valente

doi:10.1016/j.suc.2019.08.004

Elective Abdominal Surgery for Inflammatory Bowel Disease

Surg Clin North Am. 2019 Dec;99(6):1123-1140. doi: 10.1016/j.suc.2019.08.004. Epub 2019 Oct 10.

Authors

Adina E Feinberg¹, Michael A Valente²

Affiliations

¹ Department of General Surgery, Joseph Brant Hospital, 390 Brant Street, Suite 405, Burlington, Ontario L7R 4J4, Canada.
² Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A-30, Cleveland, OH 44195, USA. Electronic address: [email protected].

PMID: 31676052
DOI: 10.1016/j.suc.2019.08.004

Abstract

Elective abdominal surgery for inflammatory bowel disease is common. Surgery for Crohn's disease is not curative, and treatment must be individualized to the disease process. Surgery for ulcerative colitis generally is curative but consideration of patient-specific factors is important for staging of the procedure and determining whether ileal pouch-anal anastomosis is appropriate.

Keywords: Elective surgery; Ileal pouch–anal anastomosis; Inflammatory bowel disease; Mesentery; Resection margins; Strictureplasty.

Publication types

Review

MeSH terms

Anastomosis, Surgical
Colectomy / methods*
Colitis, Ulcerative / diagnosis
Colitis, Ulcerative / surgery*
Colonic Pouches
Crohn Disease / diagnosis
Crohn Disease / surgery*
Elective Surgical Procedures / methods*
Female
Humans
Inflammatory Bowel Diseases / diagnosis
Inflammatory Bowel Diseases / surgery
Male
Proctocolectomy, Restorative / methods
Prognosis
Risk Assessment
Treatment Outcome