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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

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:
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Inflammatory Bowel Disease II: Ulcerative Colitis01:20

Inflammatory Bowel Disease II: Ulcerative Colitis

Ulcerative colitis is a chronic inflammatory disorder of the colon characterized by continuous mucosal inflammation that typically begins in the rectum and extends proximally in a uniform pattern. Its pathogenesis involves a complex interplay of genetic predisposition, immune dysregulation, and environmental influences. These factors converge to impair the colon’s epithelial defenses and promote an exaggerated inflammatory response against luminal contents.Breakdown of the Mucosal BarrierA...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Inflammatory Bowel Disease I: Introduction01:26

Inflammatory Bowel Disease I: Introduction

Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...

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Related Experiment Video

Updated: May 15, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Evolving colon injury management: a review.

Lauren T Greer1, Suzanne M Gillern, Amy E Vertrees

  • 1Department of Surgery, General Surgery Service, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.

The American Surgeon
|January 23, 2013
PubMed
Summary

Traumatic colon injuries, common in penetrating trauma, are increasingly managed with primary repair for non-destructive cases. Destructive injuries remain controversial, with ongoing debate on resection versus diversion strategies.

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Area of Science:

  • Trauma Surgery
  • Surgical Management
  • Abdominal Trauma

Background:

  • The colon is the second most frequently injured intra-abdominal organ in penetrating trauma.
  • Management strategies for traumatic colon injuries have evolved over two centuries.
  • These injuries present a wide spectrum of severity and require tailored management.

Purpose of the Study:

  • To review the historical and current management of traumatic colon injuries.
  • To discuss common injury mechanisms, demographics, and clinical presentations.
  • To explore controversies in managing destructive colon injuries.

Main Methods:

  • Review of historical and contemporary literature on traumatic colon injuries.
  • Analysis of civilian and military practice guidelines.
  • Discussion of diagnostic and assessment techniques.

Main Results:

  • Non-destructive colon injuries are effectively managed with primary repair or anastomosis.
  • Management of destructive colon injuries is controversial, with resection and anastomosis favored by many, while diversion is used in specific cases.
  • The 'damage control' approach adds complexity to treatment decisions.

Conclusions:

  • Primary repair is effective for non-destructive traumatic colon injuries.
  • Controversy persists regarding the optimal management of destructive colon injuries.
  • Continued research and evidence are needed to refine treatment protocols for complex cases.