Abdominal Emergencies in Inflammatory Bowel Disease.

Robert N Goldstone, Randolph M Steinhagen

Journal: The Surgical clinics of North America 2019;99(6):1141-1150

PMID: 31676053

Full Text on Elsevier Science View on PubMed

Abstract

Although improved medical therapies have been associated with decreased rates of emergent intestinal resection for inflammatory bowel disease, prompt diagnosis and management remain of utmost importance to ensure appropriate patient care with reduced morbidity and mortality. Emergent indications for surgery include toxic colitis, acute obstruction, perforation, acute abscess, or massive hemorrhage. Given this broad spectrum of emergent presentations, a multidisciplinary team including surgeons, gastroenterologists, radiologists, nutritional support services, and enterostomal therapists are required for optimal patient care and decision making. Management of each emergency should be individualized based on patient age, disease type and duration, and patient goals of care.

Address: Section of Colon and Rectal Surgery, Department of Surgery, Massachusetts General Hospital, 15 Parkman Street, WAC 4-460, Boston, MA 02114, USA.; Division of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, Box 1259, One Gustave L. Levy Place, New York, NY 10029, USA. Electronic address: [email protected].

DOI: 10.1016/j.suc.2019.08.007

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MeSH Terms: Abdomen, Acute, Anastomosis, Surgical, Colectomy, Colitis, Ulcerative, Crohn Disease, Emergencies, Female, Gastrointestinal Hemorrhage, Humans, Inflammatory Bowel Diseases, Intestinal Obstruction, Intestinal Perforation, Male, Patient Care Team, Prognosis, Risk Assessment, Treatment Outcome