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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:

Assessment of the Rectum and Anus

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...

Feces Formation and Defecation

Feces Formation and Defecation

After spending 3 to 10 hours in the large intestine, chyme loses a lot of water and becomes feces, the final product of digestion. Feces consist of undigested dietary fiber such as cellulose, mucus, sloughed-off epithelial cells, and microbes. The descending and sigmoid colon stores feces and uses haustral contractions to dry it out but retains enough water to give it a semi-solid texture.
The mass peristalsis then pushes the feces into the rectum, which stretches the rectal walls to activate...

Drugs for Treatment of Constipation-Predominant IBS

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...

Urinary Bladder

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...

Irritable Bowel Syndrome III: Medical and Nursing Management

Irritable Bowel Syndrome III: Medical and Nursing Management

Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.

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Related Experiment Video

Updated: Apr 21, 2026

Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection

Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection

Published on: December 8, 2014

[Update on fecal incontinence].

Helena Buhmann¹, Antonio Nocito¹

¹Klinik für Viszeral- und Transplantationschirurgie, Universitätsspital Zürich.

|October 30, 2014

Summary

Fecal incontinence affects 8% of adults, causing significant personal and economic burdens. Early diagnosis and treatment, including medication and sacral neuromodulation, can improve outcomes.

Keywords:

Epidemiologie Stuhlinkontinenz Therapie Ursache cause epidemiology fecal incontinence incontinence fécale management neuromodualtion sacrée sacral neuromodulation sakrale Neuromodulation traitement épidémiologie étiologie

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Last Updated: Apr 21, 2026

Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection

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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

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Published on: June 16, 2022

Area of Science:

Gastroenterology
Urology
Colorectal Surgery

Context:

Fecal incontinence (FI) affects approximately 8% of the adult population.
Despite its prevalence, only one-third of affected individuals seek medical consultation.
FI presents significant individual handicaps and socioeconomic consequences.

Purpose:

To define fecal incontinence and its subtypes (passive, urge, soiling).
To outline the causes, diagnostic methods, and treatment options for fecal incontinence.
To highlight the importance of seeking medical attention for fecal incontinence.

Summary:

Fecal incontinence involves accidental stool loss, stemming from stool changes or structural/functional disorders.
Diagnostic approaches include medical history, digital rectal examination, endoanal ultrasound, anal manometry, and defecography.
Current effective treatments include conservative options like loperamide and biofeedback therapy, and invasive methods such as sacral neuromodulation.

Impact:

Improved patient quality of life through effective management strategies.
Reduced socioeconomic burden associated with fecal incontinence.
Increased awareness and timely medical intervention for fecal incontinence.