Inflammatory Bowel Diseases: the Surgical Perspective

• Main Authors: SOCEA Bogdan, DUMITRESCU Dan, BRATU Ovidiu Gabriel, CARAP Alexandru Constantin, BADIU Dumitru Cristinel, BOLOCAN Alexandra, PADURARU Dan Nicolae, MISCHIANU Dan, CONSTANTIN Vlad Denis
• Format: Article
• Language: English
• Published: Media Med Publicis 2019-03-01
• Series: Modern Medicine
• Subjects: inflammatory bowel disease; Crohn’s disease; ulcerative colitis; surgery
• Online Access: https://medicinamoderna.ro/wp-content/uploads/2019/03/2019-1-13.pdf
• ISSN: 1223-0472; 2360-2473

Inflammatory bowel diseases (IBD), namely Crohn’s disease and ulcerative colitis, are relatively rare diseases in our country, known as a low prevalence geographic region. IBD are a multidisciplinary problem, that implies gastroenterologists, as well as surgeons. Surgical management in inflammatory bowel disease is often impaired by a high complication rate and a significant recurrence rate, specific mostly for Crohn’s disease. Indications for surgery include failure of medical therapy (including delayed puberty for young patients and drug intolerance), toxic megacolon, bowel perforation, obstruction, enteric fistula and abdominal or perianal abscess. Advances in medical treatment options for IBD are continuously accumulating. However, a large number of patients still require surgical procedures during lifetime.