Open AccessEarly Surgery in Inflammatory Bowel Diseases Is a Better Option than Prolonged Conservative Treatment
Author(s) -
A. J. Kroesen
Publication year - 2019
Publication title -
visceral medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.598
H-Index - 17
eISSN - 2297-475X
pISSN - 2297-4725
DOI - 10.1159/000504150
Subject(s) - medicine , inflammatory bowel disease , ulcerative colitis , refractory (planetary science) , disease , surgery , crohn's disease , terminal ileum , stenosis , ileum , physics , astrobiology
Early surgery is a very important aspect of treatment of inflammatory bowel diseases. In Crohn's disease, early surgery should be performed in emergencies, in refractory courses, and in special cases at the beginning of the disease if there is a stenosis limited to the terminal ileum. In ulcerative colitis, prolonged therapy with extended application of all available substances should be avoided. Every therapy with more than 2 biologicals endangers the patient. Low-grade intraepithelial neoplasia (IEN) should also be resected earlier due to a 23% risk of synchronous and metachronous high-grade IEN or cancer.