The Evolving Role of Surgery for IBD
Associate Professor
Departments of Surgery and Medicine
Division of Gastroenterology
Duke University
Durham, NC
Slideshow below.
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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