Download or read book Surgery and stomas in Crohn s disease written by Thordis Disa Kalman and published by Linköping University Electronic Press. This book was released on 2021-01-22 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study investigates the evolution of abdominal surgery in treatment of Crohn´s disease (CD) in the era of immunomodulatory drugs and biologicals. It concerns risk of abdominal surgery overall and sub-categories of abdominal surgery, risk of repeat surgery and factors that affect this risk, and risk of getting a stoma. Surgical recurrence is a major clinical problem as repeat procedures are more complex and expose the patients to a higher medical risk both in conjunction with surgery and afterwards. Updated information on abdominal surgery for CD will be of use when making decisions about medical vs surgical interventions. In a nationwide cohort of 21 273 patients with CD during the years 1990-2014, the cumulative incidence of abdominal surgery within five years of diagnosis decreased continuously down to 17.3% for patients diagnosed with CD during the last calendar period of study, 2009–2014. Ileocecal resection was the most common primary procedure. The incidence of colectomy was low in all calendar periods and continuously decreased. The incidence of proctectomy was very low even after decades with the disease, 3.0% for patients diagnosed 1990-1995 with a median follow-up of 21 years. Incidence of repeat abdominal surgery within five years of primary procedure decreased in the 90s down 16.0% in the 1996– 2000 period with a risk of ileocolic reresection of 4.4%. After 2000, despite introduction of biologicals in 1998, no further significant decrease in repeat surgery was observed. In a retrospective review of prospectively maintained databases at three university hospitals, the rate of surgical recurrence for 389 patients with CD who had been treated with a primary ileocecal resection between 2000-2012 was investigated. The patients were operated receiving either a temporary stoma (20%) or a primary anastomosis (80%) with a median follow-up time of 105 months. Patients selected to temporary stoma had a higher prevalence of baseline risk factors usually associated with an increased risk of recurrence such as penetrating disease behaviour. Despite this, there was no difference in long-term surgical recurrence between the one- and two-stage groups; 18% vs 16%. In a retrospective review of prospectively maintained databases at two university hospitals, the effect of smoking cessation on rate of surgical recurrence was assessed. 242 patients were included with a median follow-up of 112 months. Surgical recurrence rate for smokers vs quitters was 16/42 (38%) vs 3/31 (10%); p = 0.02; risk ratio = 3.9 despite a median time for smoking exposure after the primary procedure of three years. Among the non-smokers 28/169 (17%) had a surgical recurrence at last follow-up. 8 out of 11 smoking patients who needed a second resection went on to need a third resection. Of the patients who were free of surgical recurrence at follow-up, those who had quit smoking were significantly less likely to have been put on medical therapy compared with smokers with a risk ratio of 3.2. In an observational study of a nationwide cohort of 19 146 patients with incident CD 2002- 2013 and followed through 2017, the incidence and prevalence of stoma was investigated. The cumulative incidence of stoma formation within five years was 2.4% and remained constant from 2002 and onwards although cumulative ever-use of biologicals increased and time to start with treatment with biologicals decreased. 48% of all stomas were reversed. Ileostomies encompassed about two-thirds of all stomas and risk of stoma was higher among patients with elderly-onset CD and among patients with perianal manifestations of the disease. 28% of the patients who underwent surgery with formation of a stoma had perianal disease. 0.6% of all incident patients had a permanent stoma five years after diagnosis.
Download or read book Surgery for Crohn s Disease written by Stephen M. Kavic and published by . This book was released on 2015 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Crohn's disease is a chronic illness that afflicts millions of patients worldwide. Despite its increasing recognition as a medical specialty within gastroenterology, there has been little attention devoted to Crohn's from a surgical perspective. This volume fills that void and acts as the first catalogue to address the surgical management of Crohn's disease. The goal of this work was to provide surgeons with the latest medical and surgical information to manage patients with Crohn's disease effectively.In this book, contributions from both gastroenterologists describe the history, diagnosis, nutrition, medical management, and surveillance of Crohn's disease. Chapters from general and colorectal surgeons detail common clinical techniques, minimally invasive surgical approach and management of perianal disease. In addition, surgical complications specific to Crohn's disease are also reviewed.This book provides all of the essential information needed in the surgical management of Crohn's disease in one simple volume. It aims to be a useful resource for practicing surgeons and surgical residents as well as gastroenterologists. The authors wish readers to understand the complex decision making and sophisticated surgical techniques that these patients often demand.
Download or read book Crohn s Disease and Ulcerative Colitis written by Devinder Kumar and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: A gem among surgical manuals, this comprehensive guide to Crohn's disease and ulcerative colitis is an excellent source for all surgeons looking specifically for technical details about the surgical management of these two diseases. Its authors - both involved in multi-center international trials, working parties and symposia - capture in print the improved techniques that have brought about revolutionary developments in the field. The extremely practical approach makes it easy for surgeons to review the indications for surgical interventions and the surgical options available for each clinical problem. Step-by-step operative instructions with practical tips born of long experience are given. The authors point out what results one should expect following the surgical intervention; these include zero mortality and minimal morbidity. They also list all the steps that should be taken to minimize the risk of late complications or recurrence. The clear instructions in this manual will also be of great value to non-surgical physicians who wish to know the indications for surgical treatment and what results they should expect from their surgical colleagues.
Download or read book Mastery of IBD Surgery written by Neil Hyman and published by Springer. This book was released on 2019-05-29 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a guide to the management of patients with Crohn’s disease and ulcerative colitis. The indications for surgery within inflammatory bowel disease are covered, as well as new biologic medications and the effects they have on the immune system. Details on how these drugs should be managed to avoid complications and ensure patient safety are also included. Mastery of IBD Surgery sets out to cover surgical responses to inflammatory bowel disease from a multidisciplinary perspective and aims to help all surgeons and medical professionals working in this area. This book is relevant to colorectal surgeons, gastrointestinal surgeons, and gastroenterologists.
Download or read book Operative Strategies in Inflammatory Bowel Disease written by Fabrizio Michelassi and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt: A thorough review of the operative techniques as well as the indications, pitfalls, strategies and timing, complications, and long term results involved in the surgical treatment of ulcerative colitis and Crohn's Disease. As IBD is characterised by a high incidence of re-operations and complications, independent sections of the text are devoted entirely to surgical treatment of specific complications and the management of recurrent diseases. Exquisitely illustrated with over 200 line drawings, this book contains important information on medical treatment, endoscopic evaluation, pathology, radiology, and aetiology.
Download or read book Crohn s Disease written by Alessandro Fichera and published by Springer. This book was released on 2015-08-20 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Crohn’s Disease: Basic Principles provides a comprehensive and state-of-the-art overview of the current diagnosis and treatment strategies for Crohn’s disease. Care of these patients and clinical conditions can be quite complex and often require a multidisciplinary approach. Sections of the book are based on the most current, evidenced-based resources and have been structured to review the etiology and diagnosis of Crohn’s disease, discuss advances in medical and surgical treatment, illustrate emerging technologies impacting the care of patients with Crohn’s disease, and examine functional and quality of life outcomes in this patient population. The text reviews our understanding of the influence of molecular and genetic factors in the development and pattern of Crohn’s disease. Current methods of diagnosis and strategies in the medical management of patients with Crohn’s disease are evaluated including the use of biologic agents. Resection and bowel sparing techniques for primary and recurrent disease as well as advances in endoscopy and laparoscopy are discussed in detail. In addition, factors influencing the quality of life of patients with Crohn’s disease are examined including nutrition, enterostomal care, fertility, and sexual function. Written by recognized experts in their field, Crohn’s Disease: Basic Principles highlights the integrated multidimensional aspect of caring for patients with Crohn’s disease and will be of great value to colon and rectal surgeons, general surgeons, gastroenterologists, internists, as well as fellows and upper level residents in training training.
Download or read book Surgery of Inflammatory Bowel Disorders written by Emanoel C. G. Lee and published by . This book was released on 1987 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Complications Considerations and Consequences of Colorectal Surgery An Issue of Surgical Clinics written by Scott R. Steele and published by Elsevier Health Sciences. This book was released on 2013-02-28 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue will explore the complications, considerations and consequences of colorectal surgery. Topics will include evaluating colorectal surgery patients to estimate and minimize morbidity and mortality, fast-track pathways, intra-operative adjuncts, colorectal anastomotic complications, proctectomy, stomas, Crohn’s disease, rectal prolapse, pelvic surgery, laparoscopy, enterocutaneous fistula, and more.
Download or read book Inflammatory Bowel Disease An Issue of Surgical Clinics written by Sean J. Langenfeld and published by Elsevier Health Sciences. This book was released on 2019-12-19 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Surgical Clinics of North America focuses on Inflammatory Bowel Disease and is edited by Dr. Sean Langenfeld. Articles will include: IBD presentation and diagnosis; Endoscopy in IBD; Preoperative considerations in IBD; Postoperative Considerations in IBD; IBD and cancer/dysplasia; Elective abdominal surgery for IBD; Abdominal emergencies in IBD; Anorectal Crohn’s disease; Other surgeries in IBD patients; Pediatric inflammatory bowel disease; Pouch complications; Genetic and environmental considerations for IBD; IBD and short bowel syndrome; Medical Management of IBD; and more!
Download or read book Crohn s Disease and Ulcerative Colitis written by Devinder Kumar and published by Springer. This book was released on 1993 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Ostomy Book written by Barbara Dorr Mullen and published by Bull Publishing Company. This book was released on 2008-06-01 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This invaluable reference discusses every aspect of an ostomy—a surgical procedure that creates an alternative opening in the body for waste discharge from the kidney, colon, intestines, or bladder—from the first shock of diagnosis through surgery and rehabilitation. The coauthor's moving and motivational story of her colostomy experience is blended with information on the latest surgical techniques and equipment, providing prospective ostomy patients with both the medical and emotional know-how to confidently approach the surgery. This revised edition also contains up-to-date material on virtual colonoscopies and travel regulations related to ostomy pouches, as well as essential facts on how to safely handle sex, pregnancy, and sports after an ostomy.
Download or read book Stoma Care written by TG Balachandar and published by JP Medical Ltd. This book was released on 2018-07-31 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: A stoma is the result of an operation to remove disease such as cancer, Crohn’s disease or diverticulitis – or from a bowel obstruction or injury to the digestive or urinary system. It is an artificial opening that allows faeces or urine either from the intestine or from the urinary tract to pass. There are three main types of stoma related to the digestive and urinary system – these are: colostomy, ileostomy and urostomy (Coloplast.co.uk). This book is a guide to stoma surgery and care for GI surgeons, from basic information to the latest advances in the field. Beginning with an overview of the digestive system, the next chapters explain the physiology and different types of stoma, including both permanent and temporary. The following chapters cover stoma surgery, post-surgical maintenance and possible complications. Other topics include sustenance with stoma, stoma care for different patient groups such as children or those with disabilities, the role of the stoma nurse and more. The book concludes with a section of frequently asked questions with detailed answers. Key points Comprehensive guide to stoma surgery and care for GI surgeons Covers permanent and temporary stoma and possible complications Includes FAQs with detailed answers Features clinical photographs, diagrams and tables to assist learning
Download or read book Inflammatory Bowel Disease An Issue of Surgical Clinics written by Kerry L. Hammond and published by Elsevier Health Sciences. This book was released on 2016-01-07 with total page 1309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inflammatory Bowel Disease is reviewed extensively in this important Surgical Clinics of North America issue. Articles include: Inflammatory Bowel Disease: Historical Perspective, Epidemiology and Risk Factors; Diagnostic Modalities for Inflammatory Bowel Disease: Serologic Markers and Endoscopy; Diagnostic Modalities for Inflammatory Bowel Disease: Radiologic Imaging; Medical Therapy for Inflammatory Bowel Disease; Crohn's Disease of the Foregut and Small Intestine; Crohn's Disease of the Colon, Rectum and Anus; Indications and Options for Surgery in Ulcerative Colitis; Challenges in the Medical and Surgical Management of Chronic Inflammatory Bowel Disease; Extraintestinal Manifestations of Inflammatory Bowel Disease; Colorectal Neoplasia and Inflammatory Bowel Disease; Nutritional Support of the Inflammatory Bowel Disease Patient; Psychosocial Support of the Inflammatory Bowel Disease Patient; Genetics and Pathogenesis of Inflammatory Bowel Disease; and more!
Download or read book Unwanted Baggage written by Elizabeth Prosser; Philip Prosser and published by AuthorHouse. This book was released on 2011-02-15 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: One in every two hundred and fifty people face life with an ostomy bag(pouch). Until now, there has been a lack of information written by people with personal experience of this life-changing condition. This book provides over four hundred pages packed with detailed information on resources, help with appliance choices and many solutions to life with a bag (pouch). From the latest in applicable benefits to travelling with a bag. From such things as intimacy to dealing with paediatric ostomates, workplace and school's legal obigations, specialised clothing,coping with depression and body image - every imaginable topic is covered. Three hundred wesbites and contact details are listed. The author's husband, Philip has also contributed essential information for Carers. This is a "Must-Have" addition for any colostomate,ileostomate or urostomate, those new to life with a bag, their families and carers. Even the seasoned ostomate may find something they did not know! The book also provides an introduction to a new website : wwww.thebowelmovement.co.uk that will include regular updates for the book, newsletters, unusual stoma products and a forum for children, teens and for adult ostomates to meet others. .
Download or read book The Kock Pouch written by Pär Myrelid and published by Springer. This book was released on 2018-11-24 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is about the recently revived technique of Kock pouch in inflammatory bowel disease. It discusses the Kock pouch as an alternative to patients not suitable for a pelvic pouch or where the pelvic pouch has failed. It provides clinicians with all the necessary information on patient guidance and surgical revisions after a long life with a Kock pouch. The reader will learn about the development of the pouch, pre and post-operative strategies, surveillance, complications and the limitations and weaknesses of the method. New pioneering experimental methods used by the authors are also discussed. The use of ileorectal anastomosis and Kock’s continent ileostomy has regained interest as the long term problems of the pelvic pouch have and this book brings the knowledge and valuable experiences of a few experts at international centres to a large audience. This is an indispensable guide for colorectal surgeons, gastroenterologists and stoma therapi sts involved in the care of patients with inflammatory bowel disease where colectomy is still needed, either in an emergency setting or due to dysplasia or cancer.
Download or read book Pouchitis and Ileal Pouch Disorders written by Bo Shen and published by Academic Press. This book was released on 2018-11-05 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pouchitis and Ileal Pouch Disorders: A Multidisciplinary Approach for Diagnosis and Management provides much needed information on the evolution of pouch surgery, pouch surgery techniques, and surgery-associated complications, including inflammatory, functional, neoplastic, and metabolic complications. The book provides information on the anatomy of the pouch, pathogenesis of pouchitis and other pouch disorders, proper diagnostic modalities, and medical, endoscopic and surgical options for those disorders. The information has been compiled from a panel of national and international leading experts in the field, including basic scientists, gastrointestinal (GI) pathologists, GI radiologists, gastroenterologists, and more. Features never-before-published information and technology from the vast experience of the contributors and editors in diagnosis and medical, endoscopic, and surgical management of pouchitis and other pouch disorders Contains easy to access recommendations from experts Provides access to an accompanying website with videos of endoscopic demonstrations of various configurations of the pouch, endoscopic evaluation of pouch disorders, and endoscopic treatment of pouch strictures, fistula, and anastomotic leaks/sinuses
Download or read book The ASCRS Textbook of Colon and Rectal Surgery written by Scott R. Steele and published by Springer. This book was released on 2016-03-24 with total page 1269 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.
