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Updated: Aug 1, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Immune mediated colitis: a surgical perspective.
Khang Duy Ricky Le1,2,3, Kay Tai Choy4, Sara Roth5,6,7
1Department of General Surgical Specialties, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
This review highlights the crucial role of surgical specialties in managing immune-mediated colitis, an adverse event of cancer immunotherapy. Surgeons are increasingly needed for prompt diagnosis and multidisciplinary care of this condition.
Area of Science:
- Oncology
- Gastroenterology
- Surgical Specialties
Background:
- Immune-mediated colitis is a significant adverse event associated with cancer immunotherapy.
- Current management often mirrors inflammatory bowel disease protocols, primarily involving medical specialties.
Purpose of the Study:
- To review and summarize current literature on immune-mediated colitis treatment.
- To explore the role of surgical specialties in the management of immune-mediated colitis.
Main Methods:
- A narrative review of relevant literature was conducted.
- Literature search performed using Medline, EMBASE, and Cochrane Central databases.
Main Results:
- Diagnosis and treatment guidelines for immune-mediated colitis are guided by oncology and gastroenterology.
- Surgical expertise is essential for diagnosis and managing complications of immune-mediated colitis.
Conclusions:
- Surgical involvement is critical for comprehensive immune-mediated colitis management.
- Surgeons need to be familiar with multidisciplinary approaches for prompt diagnosis and treatment.
- Enhanced collaboration between surgical and medical specialties is necessary for optimal patient care.
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