Open AccessRecent trends in the surgical management of inflammatory bowel disease
Author(s) -
Robert E. Roses,
John L. Rombeau
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.408
Subject(s) - pouchitis , medicine , ulcerative colitis , proctocolectomy , inflammatory bowel disease , disease , general surgery , crohn's disease , inflammatory bowel diseases , panca , colectomy , surgery , gastroenterology , vasculitis , anti neutrophil cytoplasmic antibody
Surgery is required in the vast majority of patients with Crohn's disease (CD) and in approximately one-third of patients with ulcerative colitis (UC). Similar to medical treatments for IBD, significant advances have occurred in surgery. Advances in CD include an emphasis upon conservatism as exemplified by more limited resections, strictureplasties, and laparoscopic resections. The use of probiotics in selected patients has improved the outcome in patients with pouchitis following restorative proctocolectomy for UC. It is anticipated that ongoing discoveries in the molecular basis of IBD will in turn identify those patients who will best respond to surgery.