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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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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:
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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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...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
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Updated: Mar 30, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Ongoing challenges and controversies in ulcerative colitis surgery.

Steven Lee-Kong1, Ravi Pokala Kiran1

  • 1a Division of Colorectal Surgery , Columbia University Medical Center/New York Presbyterian Hospital , New York , NY , USA.

Expert Review of Gastroenterology & Hepatology
|November 19, 2015
PubMed
Summary
This summary is machine-generated.

For ulcerative colitis surgery, ileal pouch-anal anastomosis is the gold standard. While effective, debates continue regarding its optimal use and impact on pelvic structures.

Keywords:
Ulcerative colitisfertilityileoanal pouchileorectal anastomosissexual functionsurgery

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Area of Science:

  • Gastroenterology and Surgical Oncology

Background:

  • Ulcerative colitis often necessitates surgical intervention.
  • Surgical options include total proctocolectomy with ileal pouch-anal anastomosis (IPAA) or subtotal colectomy with ileorectal anastomosis (IRA).
  • IPAA is the predominant surgical approach.

Purpose of the Study:

  • To review the established efficacy and ongoing controversies surrounding IPAA in ulcerative colitis surgery.
  • To discuss the comparative role of IPAA versus other surgical techniques.

Main Methods:

  • Literature review of studies on surgical management of ulcerative colitis.
  • Analysis of data regarding feasibility, durability, functional outcomes, and quality of life post-IPAA.
  • Examination of existing debates on IPAA technique and pelvic structure effects.

Main Results:

  • IPAA demonstrates strong long-term feasibility, durability, and functional outcomes.
  • IPAA generally maintains a good quality of life for patients.
  • Controversies persist regarding IPAA's relative indications, surgical methods, and pelvic impact.

Conclusions:

  • Ileal pouch-anal anastomosis remains the gold standard for surgical treatment of ulcerative colitis.
  • Further research and discussion are needed to address the remaining controversies and optimize surgical techniques.