Recent trends in the surgical management of inflammatory bowel disease

被引：23

作者：

Roses, Robert E. ^{[1
,2
]}

Rombeau, John L. ^{[1
,2
]}

机构：

[1] Temple Univ Hosp & Med Sch, Philadelphia, PA 19140 USA

[2] Univ Penn, Sch Med, Philadelphia, PA 19104 USA

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2008年 / 14卷 / 03期

关键词：

Crohn's disease; ulcerative colitis; ileal pouch anal anastomosis; laparoscopic colectomy;

D O I：

10.3748/wjg.14.408

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Surgery is required in the vast majority of patients with Crohn's disease (CD) and in approximately one-third of patients with ulcerative colitis (UC). Similar to medical treatments for IBD, significant advances have occurred in surgery. Advances in CD include an emphasis upon conservatism as exemplified by more limited resections, strictureplasties, and laparoscopic resections. The use of probiotics in selected patients has improved the outcome in patients with pouchitis following restorative proctocolectomy for UC. It is anticipated that ongoing discoveries in the molecular basis of IBD will in turn identify those patients who will best respond to surgery. (c) 2008 WJG. All rights reserved.

引用

页码：408 / 412

页数：5

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