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Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Ostomy Care

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

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Related Experiment Video

Updated: Jul 6, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Ileostomy revision using noncutting linear stapler.

M-L Skaerlund¹, L Jacobsen, A Tøttrup

¹Department of Surgery P, Aarhus University Hospital, Tage Hansensgade, Aarhus C, Denmark.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|March 8, 2008

Summary

Stapled ileostomy revision for retraction is technically simple with low morbidity. However, less than half of patients achieve a satisfactory long-term result, often requiring further revision procedures.

Related Experiment Videos

Last Updated: Jul 6, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Area of Science:

Gastroenterology
Surgical Innovation
Stoma Care

Background:

Ileostomy complications like retraction and prolapse require surgical intervention.
Stapled revision offers a minimally invasive approach to address these issues.

Purpose of the Study:

To evaluate the effectiveness of stapled ileostomy revision for retraction and prolapse.
To assess the long-term outcomes and success rates of this surgical technique.

Main Methods:

A retrospective review of 45 patients who underwent 94 stapled ileostomy revisions between 1995 and 2005.
Analysis of patient records to determine indications, procedures, and outcomes.

Main Results:

Stomal retraction was the primary indication in 95.6% of cases.
One or more stapling procedures resulted in a normal stoma in 41.9% of patients with retraction.
Overall success, including other repair types, reached 69.8% for retraction.
Low BMI was associated with lower success rates, but no factor had statistical significance.

Conclusions:

Stapled ileostomy revision is technically straightforward and associated with low morbidity.
The long-term success rate for stapled revision alone is less than 50%.
Many patients may still benefit from alternative revision methods if stapling fails.