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Advances in the surgical management of inflammatory bowel disease

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Author:
No author available
Journal Title:
Chinese Journal of Digestive Surgery
Issue:
6
DOI:
10.3760/cma.j.cn115610-20240416-00205
Key Word:
炎症性肠病;克罗恩病;溃疡性结肠炎;外科治疗;疗效;Inflammatory bowel disease;Crohn's disease;Ulcerative colitis;Surgical management;Efficacy

Abstract: Inflammatory bowel disease(IBD)is a chronic,progressive inflammatory disease of the gastrointestinal tract.With prolonged disease duration,more than 70%of patients with Crohn's disease(CD)and nearly one-third of patients with ulcerative colitis(UC)eventually require surgical intervention.Individualized factors,such as disease phenotype,severity,preoperative medications,surgical history,surgeon's experience,and surgical technique adopted affect the short-term post-operative complications and long-term prognosis of IBD.The goals of surgical treatment of CD are to reduce complications,avoid or delay postoperative recurrence,and improve quality of life.In recent years,the surgical concepts and techniques of CD represented by preoperative optimization,restric-tive bowel resection,early surgery,extensive mesenteric resection,and Kono-S anastomosis have been improved and developed.Total proctocolectomy plus ileal pouch-anal anastomosis(IPAA)is the preferred surgical procedure of UC,and the evolution of IPAA staging and optimization of tech-nical details have further improved the efficacy.With the innovation of IBD treatment concepts and modalities,a standardized surgical treatment system is gradually being formed,which will further improve the efficacy of IBD treatment.Based on the relevant literature and practical experience,the authors review the latest progress of surgical treatment of IBD,aiming to promote the standardized treatment of IBD surgery.

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