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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.
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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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.
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Updated: Jul 21, 2025

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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Does Long-Term Bowel Function Change After Colectomy for Colon Malignancy?

Phillip J Gray1, Amanda J Bastien1, Mark A Eid1

  • 1Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Geisel School of Medicine, Hanover, New Hampshire.

The Journal of Surgical Research
|July 28, 2023
PubMed
Summary
This summary is machine-generated.

Long-term colectomy for colon cancer improves stool-related symptoms like pain and bleeding. This study evaluated patient-reported bowel function changes after surgery, offering insights for preoperative counseling.

Keywords:
Colon cancerLong-termPatient-reported outcomesQuality of life

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Area of Science:

  • Colorectal surgery
  • Oncology
  • Patient-reported outcomes

Background:

  • Understanding bowel function after colectomy for colon cancer is crucial for patient counseling.
  • Previous research shows short-term increases in bowel movement frequency but no overall functional change.
  • Long-term functional changes after colectomy remain largely unknown.

Purpose of the Study:

  • To evaluate long-term changes in patient-reported bowel function following colectomy for colon cancer.

Main Methods:

  • An observational study involving patients who underwent colectomy for colon cancer.
  • Utilized the Colorectal Functional Outcome (COREFO) questionnaire preoperatively and at long-term follow-up (median 16 months).
  • Assessed quality of life using the Patient Reported Outcome Measurement Information System-10 (PROMIS-10).

Main Results:

  • Sixty-six patients completed the study.
  • Significant improvements were observed in stool-related aspects, including pain, bleeding, and anal skin irritation.
  • No significant changes were noted in other COREFO domains or the total score.
  • PROMIS-10 scores indicated quality of life comparable to the general US population.

Conclusions:

  • Colectomy for colon cancer leads to long-term improvements in specific stool-related symptoms.
  • These findings should be incorporated into evidence-based preoperative patient counseling.