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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:
193
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

352
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...
352
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

298
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...
298
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

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

397
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...
397
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

526
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...
526
Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

173
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...
173

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Pediatric Inflammatory Bowel Disease for General Surgeons.

Michael R Phillips1, Erica Brenner2, Laura N Purcell3

  • 1Department of Surgery, The University of North Carolina School of Medicine, 170 Manning Drive, CB #7223, Chapel Hill, NC 27599-7223, USA; Department of Pediatrics, The University of North Carolina School of Medicine, 260 MacNider Hall, CB# 7220333 South Columbia St Chapel Hill, NC 27599-7220.

The Surgical Clinics of North America
|October 9, 2022
PubMed
Summary

Pediatric inflammatory bowel disease (IBD) requires a distinct multidisciplinary approach compared to adult IBD. Emergency surgical care for pediatric IBD must prioritize patient stabilization and long-term intestinal function.

Keywords:
Crohn diseaseIleal pouch anal anastomosisInflammatory bowel diseaseInflammatory bowel disease-unclassifiedUlcerative colitis

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Area of Science:

  • Pediatric Gastroenterology
  • Inflammatory Bowel Disease Research
  • Surgical Management

Background:

  • Significant differences exist between pediatric and adult inflammatory bowel disease (IBD).
  • Current treatment paradigms may not fully address the unique needs of pediatric IBD patients.
  • A specialized approach is necessary for effective pediatric IBD care.

Purpose of the Study:

  • To highlight the key distinctions in pediatric versus adult inflammatory bowel disease (IBD).
  • To advocate for a multidisciplinary approach tailored to pediatric IBD.
  • To define optimal surgical management strategies for pediatric IBD emergencies.

Main Methods:

  • Review of existing literature on pediatric and adult IBD.
  • Analysis of clinical case studies involving pediatric IBD emergencies.
  • Expert consensus on multidisciplinary care models.

Main Results:

  • Pediatric IBD presents with unique clinical, biological, and therapeutic considerations.
  • A coordinated, multidisciplinary team is crucial for optimal outcomes in pediatric IBD.
  • Emergency surgery in pediatric IBD necessitates immediate stabilization and consideration of future bowel function.

Conclusions:

  • A specialized, multidisciplinary approach is essential for managing pediatric inflammatory bowel disease.
  • Surgical interventions in pediatric IBD emergencies must balance acute needs with long-term functional goals.
  • Further research into pediatric-specific IBD management is warranted.