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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:

Tracheostomy Decannulation

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...

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Updated: Mar 19, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Spontaneous ileostomy closure.

Mohammad S Alyami¹, Peter W Lundberg, Eddy G Cotte

¹Department of Oncology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, General & Emergency Surgery, Pierre Bénite, France. E-mail. swar_ms@hotmail.com.

Saudi Medical Journal

|June 10, 2016

Summary

This summary is machine-generated.

A rare case of spontaneous ileostomy closure in a colorectal cancer patient highlights a unique healing phenomenon. This natural closure occurred without surgical intervention, offering potential insights into ostomy management.

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Area of Science:

Surgical Oncology
Gastroenterology
Colorectal Surgery

Background:

Iatrogenic ileostomies are standard in colorectal surgery to divert intestinal contents, facilitating distal anastomosis healing before reversal.
These ostomies are typically managed surgically for closure, making spontaneous events noteworthy.

Observation:

A 65-year-old woman with hereditary non-polyposis colorectal cancer type-I underwent extensive surgery, including a colectomy and creation of a proximal loop ileostomy.
The patient experienced a unique, spontaneous closure of the ileostomy at 10 weeks post-surgery, followed by a reopening and subsequent definitive closure at 18 weeks, all without reoperation.

Findings:

The case documents the spontaneous, non-surgical closure of a diverting ileostomy in a patient with aggressive colorectal cancer and perioperative interventions.
This rare occurrence challenges the conventional understanding of ileostomy management and healing processes.

Implications:

This phenomenon, though poorly understood, suggests potential for non-operative resolution in select ileostomy cases.
Further investigation into the mechanisms of spontaneous ileostomy closure could inform future surgical strategies and patient care protocols in complex colorectal cases.