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Acute surgical emergencies in inflammatory bowel disease
Dale F Berg1, Anil M Bahadursingh, Donald L Kaminski
1Department of Surgery, Division of Colon and Rectal Surgery, St. Louis University Health Sciences Center, 3635 Vista at Grand, P.O. Box 15250, St. Louis, MO 63110-0250, USA.
American Journal of Surgery
|July 24, 2002
Summary
Acute surgical emergencies in inflammatory bowel disease (IBD) patients require prompt intervention. Reviewing treatments for ulcerative colitis and Crohn's disease aids in reducing morbidity and improving patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Colorectal Surgery
Background:
- Acute surgical emergencies in inflammatory bowel disease (IBD) patients present significant morbidity risks.
- While mortality is decreasing, understanding management is crucial for ulcerative colitis and Crohn's disease.
Purpose of the Study:
- To review and outline the treatment strategies for acute surgical emergencies in patients with IBD.
- To provide guidance on managing conditions like toxic colitis, hemorrhage, perforation, abscesses, and obstruction in IBD.
Main Methods:
- A comprehensive literature search was conducted using PubMed.
- English language reports on acute surgical emergencies in IBD were identified and reviewed.
Main Results:
- IBD surgical emergencies include toxic colitis, hemorrhage, perforation, abscesses, and obstruction.
- Management varies: resection for toxic colitis/perforation, colectomy for UC hemorrhage, segmental resection for Crohn's hemorrhage, drainage for abscesses, and nonoperative management for obstruction.
Conclusions:
- Acute surgical emergencies in IBD, though rare, can lead to high morbidity.
- A multidisciplinary approach is key to reducing morbidity and enhancing patient recovery and quality of life.