The Evolving Role of Surgery for IBD

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The Evolving Role of Surgery for IBD
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Julie K.M. Thacker, MD, FACS, FASCRS

Click to view more from Gastroenterology Data Trends 2023. 

References
  1. Gul F et al. Ann Med Surg (Lond). 2022;81:104476. doi:10.1016/j.amsu.2022.104476
  2. Kotze PG et al. Clin Colon Rectal Surg. 2021;34(3):172-180. doi:10.1055/s-0040-1718685
  3. Bemelman WA; S-ECCO collaborators. J Crohns Colitis. 2018;12(8):1005-1007. doi:10.1093/ecco-jcc/jjy056
  4. Ricci C et al. Dig Liver Dis. 2008;40(suppl 2):S285-S288. doi:10.1016/S1590-8658(08)60539-3
  5. Lin X et al. Therap Adv Gastroenterol. 2022;15:17562848221104951. doi:10.1177/17562848221104951
  6. Parigi TL et al. Dis Colon Rectum. 2022;65(suppl 1):S119-S128. doi:10.1097/DCR.0000000000002548
  7. Pilonis ND et al. Transl Gastroenterol Hepatol. 2022;7:7. doi:10.21037/tgh.2020.04.02
  8. Misawa M et al. Clin Endosc. 2021;54(4):455-463. doi:10.5946/ce.2021.165
  9. de Sousa HT et al. Curr Opin Gastroenterol. 2018;34(4):194-207. doi:10.1097/MOG.0000000000000440
  10. Whitehead A, Cataldo PA. Clin Colon Rectal Surg. 2017;30(3):162-171. doi:10.1055/s-0037-1598156
  11. Cannon LM. The use of enhanced recovery pathways in patients undergoing surgery for inflammatory bowel disease. In: Hyman N, Fleshner P, Strong S, eds Mastery of IBD Surgery. Chicago, IL: University of Chicago Press; 2019:29-38. doi:10.1007/978-3-030-16755-4_4
  12. Ljungqvist O et al. World J Surg. 2020;44(10):3197–3198. doi:10.1007/s00268-020-05734-5
Author and Disclosure Information

Associate Professor
Departments of Surgery and Medicine
Division of Gastroenterology
Duke University
Durham, NC

Publications
GI and Hepatology News
Topics
IBD & Intestinal Disorders
Author(s)
Julie K.M. Thacker, MD, FACS, FASCRS
Author(s)
Julie K.M. Thacker, MD, FACS, FASCRS
Author and Disclosure Information

Associate Professor
Departments of Surgery and Medicine
Division of Gastroenterology
Duke University
Durham, NC

Author and Disclosure Information

Associate Professor
Departments of Surgery and Medicine
Division of Gastroenterology
Duke University
Durham, NC

Click to view more from Gastroenterology Data Trends 2023. 

Click to view more from Gastroenterology Data Trends 2023. 

References
  1. Gul F et al. Ann Med Surg (Lond). 2022;81:104476. doi:10.1016/j.amsu.2022.104476
  2. Kotze PG et al. Clin Colon Rectal Surg. 2021;34(3):172-180. doi:10.1055/s-0040-1718685
  3. Bemelman WA; S-ECCO collaborators. J Crohns Colitis. 2018;12(8):1005-1007. doi:10.1093/ecco-jcc/jjy056
  4. Ricci C et al. Dig Liver Dis. 2008;40(suppl 2):S285-S288. doi:10.1016/S1590-8658(08)60539-3
  5. Lin X et al. Therap Adv Gastroenterol. 2022;15:17562848221104951. doi:10.1177/17562848221104951
  6. Parigi TL et al. Dis Colon Rectum. 2022;65(suppl 1):S119-S128. doi:10.1097/DCR.0000000000002548
  7. Pilonis ND et al. Transl Gastroenterol Hepatol. 2022;7:7. doi:10.21037/tgh.2020.04.02
  8. Misawa M et al. Clin Endosc. 2021;54(4):455-463. doi:10.5946/ce.2021.165
  9. de Sousa HT et al. Curr Opin Gastroenterol. 2018;34(4):194-207. doi:10.1097/MOG.0000000000000440
  10. Whitehead A, Cataldo PA. Clin Colon Rectal Surg. 2017;30(3):162-171. doi:10.1055/s-0037-1598156
  11. Cannon LM. The use of enhanced recovery pathways in patients undergoing surgery for inflammatory bowel disease. In: Hyman N, Fleshner P, Strong S, eds Mastery of IBD Surgery. Chicago, IL: University of Chicago Press; 2019:29-38. doi:10.1007/978-3-030-16755-4_4
  12. Ljungqvist O et al. World J Surg. 2020;44(10):3197–3198. doi:10.1007/s00268-020-05734-5
References
  1. Gul F et al. Ann Med Surg (Lond). 2022;81:104476. doi:10.1016/j.amsu.2022.104476
  2. Kotze PG et al. Clin Colon Rectal Surg. 2021;34(3):172-180. doi:10.1055/s-0040-1718685
  3. Bemelman WA; S-ECCO collaborators. J Crohns Colitis. 2018;12(8):1005-1007. doi:10.1093/ecco-jcc/jjy056
  4. Ricci C et al. Dig Liver Dis. 2008;40(suppl 2):S285-S288. doi:10.1016/S1590-8658(08)60539-3
  5. Lin X et al. Therap Adv Gastroenterol. 2022;15:17562848221104951. doi:10.1177/17562848221104951
  6. Parigi TL et al. Dis Colon Rectum. 2022;65(suppl 1):S119-S128. doi:10.1097/DCR.0000000000002548
  7. Pilonis ND et al. Transl Gastroenterol Hepatol. 2022;7:7. doi:10.21037/tgh.2020.04.02
  8. Misawa M et al. Clin Endosc. 2021;54(4):455-463. doi:10.5946/ce.2021.165
  9. de Sousa HT et al. Curr Opin Gastroenterol. 2018;34(4):194-207. doi:10.1097/MOG.0000000000000440
  10. Whitehead A, Cataldo PA. Clin Colon Rectal Surg. 2017;30(3):162-171. doi:10.1055/s-0037-1598156
  11. Cannon LM. The use of enhanced recovery pathways in patients undergoing surgery for inflammatory bowel disease. In: Hyman N, Fleshner P, Strong S, eds Mastery of IBD Surgery. Chicago, IL: University of Chicago Press; 2019:29-38. doi:10.1007/978-3-030-16755-4_4
  12. Ljungqvist O et al. World J Surg. 2020;44(10):3197–3198. doi:10.1007/s00268-020-05734-5
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GI and Hepatology News
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IBD & Intestinal Disorders
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The Evolving Role of Surgery for IBD
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IBD can involve chronic inflammation of the GI tract that can lead to severe complications. Although surgery is not the first-line treatment for IBD, it may need to be considered in certain situations, such as when medication and other measures are ineffective, or in cases of certain disease manifestations.

Surgical options have evolved significantly over the years, with advancements in techniques, technologies, and perioperative care that have helped improve outcomes, reduce complications, and enhance quality of life for patients—especially with minimally invasive surgery (MIS) approaches. MIS procedures for IBD include multiport laparoscopy and robotics.1,2 Now, colorectal surgeons have specialized to treat IBD—especially in MIS fashion when applicable.3

Successful IBD management requires a collaborative approach—and surgeons play a crucial role within this framework.4 A multidisciplinary approach ensures that individuals with IBD receive comprehensive care that integrates medical, surgical, and supportive interventions (ie, nutrition, mental health, and peer support)—maximizing treatment outcomes, minimizing complications, and improving the overall quality of life for patients with IBD who require surgery.

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