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Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

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:

Intestinal Obstruction II: Pathophysiology

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...

Inflammatory Bowel Disease I: Introduction

Inflammatory Bowel Disease I: Introduction

Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...

Inflammatory Bowel Disease II: Crohn's Disease

Inflammatory Bowel Disease II: Crohn's Disease

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 transmural...

Intestinal Obstruction I: Introduction

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...

Diverticular Disease of the Colon

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...

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Related Experiment Video

Updated: Jun 16, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Recurrence in ileosigmoid knotting.

Mesud Fakirullahoglu¹, Esra Disci², Rifat Peksoz³

¹Mesud Fakirullahoglu, MD Assistant Professor, Department of General Surgery, Erzurum City Hospital, Erzurum, Turkiye.

Pakistan Journal of Medical Sciences

|June 15, 2026

Summary

Ileosigmoid knotting (ISK) rarely recurs, but sigmoid volvulus (SV) can recur early or late. Definitive surgery may reduce recurrences of ISK, ileum volvulus (IV), and SV.

Keywords:

Emergency surgery Ileosigmoid knotting Recurrence Sigmoid volvulus

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Published on: March 24, 2023

Area of Science:

Gastroenterology
Surgical Gastroenterology
Abdominal Surgery

Background:

Ileosigmoid knotting (ISK) is a rare and complex condition involving both ileum volvulus (IV) and sigmoid volvulus (SV).
Understanding the recurrence patterns of ISK, IV, and SV is crucial for patient management.

Purpose of the Study:

To investigate the recurrence rates of ISK, IV, and SV in patients who underwent surgery for ISK.
To analyze recurrence data from a single institution and worldwide literature.

Main Methods:

A retrospective and prospective analysis of 81 ISK patients treated at Ataturk University from 1966 to 2026.
A comprehensive literature review of ISK, IV, and SV recurrences over the past 81 years using PubMed and Web of Science.

Main Results:

No recurrence of ISK or IV was observed.
Early and late sigmoid volvulus (SV) recurrences occurred in 1.3% and 4.5% of patients, respectively.
Worldwide data showed one early recurrence each for ISK, IV, and SV, with no late recurrences reported.

Conclusions:

Early recurrences of ISK, IV, and SV are uncommon after initial surgery.
Conservative surgery, such as detorsion alone, was identified as a significant factor for recurrence.
Definitive surgical procedures like ileum resection, cecopexy, sigmoidopexy, or sigmoid colectomy may decrease recurrence rates in selected ISK patients.