What are the surgical options for treatment of inflammatory bowel disease (IBD)?

Updated: Oct 17, 2017
  • Author: William A Rowe, MD; Chief Editor: BS Anand, MD  more...
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Answer

Surgical intervention in IBD includes the following:

  • UC: Proctocolectomy with ileostomy, total proctocolectomy with ileoanal anastomosis

  • Fulminant colitis: Surgical procedure of choice is subtotal colectomy with end ileostomy and creation of a Hartmann pouch

  • CD: Surgery (not curative) most commonly performed in patients with complications of the disease; generally consists of conservative resection (eg, potential stricturoplasty vs resective surgery) to preserve bowel length in case future additional surgery is needed [4]

  • Selected patients with distal ileal or proximal colonic disease: Option for ileorectal or ileocolonic anastomosis

  • Severe perianal fistulas: Option for diverting ileostomy; generally, resection for symptomatic enteroenteric fistulas

See Treatment and Medication for more detail.


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