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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 III: Diagnostic Studies and Management I-Nutritional Therapy01:30

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

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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...
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Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

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Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

790
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...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

856
Introduction
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.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Tissue Engineering of the Intestine in a Murine Model
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Surgery and paediatric inflammatory bowel disease.

Arun Kelay1, Lucinda Tullie1, Michael Stanton1

  • 1Department of Paediatric Surgery, University Hospital Southampton, Southampton, UK.

Translational Pediatrics
|January 30, 2020
PubMed
Summary

Paediatric inflammatory bowel disease, including Crohn's disease (CD) and ulcerative colitis (UC), is rising. While biologics may delay surgery, surgical intervention remains common in children, with different approaches for CD and UC.

Keywords:
Crohn’s disease (CD)Paediatric inflammatory bowel disease (PIBD)ulcerative colitis (UC)

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Area of Science:

  • Pediatric gastroenterology
  • Surgical gastroenterology
  • Inflammatory Bowel Disease (IBD) research

Background:

  • Increasing incidence of paediatric Crohn's disease (CD) and ulcerative colitis (UC).
  • Approximately 25% of children with CD and 10% with UC require surgery during childhood.
  • Biologic therapy may be delaying, not preventing, the need for surgery in pediatric IBD.

Purpose of the Study:

  • To review the current landscape of surgical interventions for pediatric CD and UC.
  • To discuss the principles of surgical management in pediatric IBD.
  • To highlight the differences in surgical outcomes and goals for CD versus UC.

Main Methods:

  • Literature review of surgical management in pediatric inflammatory bowel disease.
  • Analysis of surgical intervention rates in pediatric CD and UC.
  • Discussion of surgical techniques and outcomes for pediatric CD and UC.

Main Results:

  • Surgery is frequently required in children diagnosed with CD and UC.
  • Biologic therapies may reduce short-term surgical rates but do not eliminate long-term risk.
  • Surgical goals differ: bowel preservation in CD, curative resection in UC.

Conclusions:

  • Surgical intervention remains a significant aspect of managing pediatric CD and UC.
  • Limited resection is crucial for pediatric CD to preserve bowel length.
  • Curative options like subtotal colectomy and ileo-anal pouch anastomosis are available for pediatric UC.