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Preoperative Considerations in Inflammatory Bowel Disease

Nicholas P McKenna1, Amy L Lightner2

  • 1Department of Surgery, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.

The Surgical Clinics of North America
|November 3, 2019
PubMed

Patients with ulcerative colitis and Crohn's disease often present to surgery malnourished and on combination immunosuppression. These factors affect operation selection and postoperative outcomes. Corticosteroids have a well-established detrimental effect on postoperative outcomes, whereas the impact of biologic agents is more controversial. In a patient exposed to these medications, and in the presence of other risk factors, temporary intestinal diversion is likely the best choice. Enteral nutrition may help optimize malnourished patients at high risk of adverse postoperative outcomes.

Keywords:
BiologicsCorticosteroidsCrohn's diseaseEnteral nutritionPreoperative medicationsUlcerative colitis

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