Abstract
Medical treatment which is focused on symptoms and reducing inflammation is the first step for the management of inflammatory bowel diseases [1]. Despite optimal medical therapy, up to 30% of the patients with ulcerative colitis will require surgery during their lifetime [2]. Colectomy and removal of rectum provide complete cure from the disease. But post-operative complications are major point of concern because most of the patients are worn out by extended medical therapy, malnutrition and hemorrhage
Highlights
Medical treatment which is focused on symptoms and reducing inflammation is the first step for the management of inflammatory bowel diseases [1]
In both elective and emergency setting, till the late 1950’s, total proctocolectomy and ileostomy was the only procedure for ulcerative colitis patients [6]
Total proctocolectomy and ileal pouch anal anastomosis (IPAA) can be performed in one, two and three stages depending on surgeon and patient condition [9]
Summary
Medical treatment which is focused on symptoms and reducing inflammation is the first step for the management of inflammatory bowel diseases [1]. Up to 30% of the patients with ulcerative colitis will require surgery during their lifetime [2]. Patient status (e.g., nutritional status, previous treatment) and timing of surgery (e.g., urgent, elective) are the most important factors affecting surgical technique.
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