Modern surgery for ulcerative colitis

Updates Surg. 2020 Jun;72(2):325-333. doi: 10.1007/s13304-020-00719-4. Epub 2020 Feb 11.

Abstract

Ulcerative colitis (UC) is a chronic inflammatory disorder of poorly understood aetiology. While medical treatment is first-line management, approximately 10% of patients with UC will require a colectomy either as an emergency or elective procedure. There are multiple surgical options available in the current era and the choice of operation(s) is highly dependent on the clinical presentation, patient preference and individual surgeon or institutional practice. We present a review of modern surgical practices in ulcerative colitis, addressing some current controversies and diversities.

Keywords: IPAA; Panproctocolectomy; Subtotal colectomy; Total colectomy; UC; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Anastomosis, Surgical / methods
  • Anastomosis, Surgical / trends
  • Colectomy / methods*
  • Colectomy / trends*
  • Colitis, Ulcerative / surgery*
  • Digestive System Surgical Procedures / methods
  • Digestive System Surgical Procedures / trends
  • Emergencies
  • Endoscopy, Gastrointestinal / methods*
  • Endoscopy, Gastrointestinal / trends
  • Humans
  • Ileum / surgery
  • Laparoscopy / methods*
  • Laparoscopy / trends
  • Proctocolectomy, Restorative / methods*
  • Proctocolectomy, Restorative / trends
  • Rectum
  • Surgical Stapling / methods
  • Surgical Stapling / trends