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Clin Colon Rectal Surg 2022; 35(06): 437-444
DOI: 10.1055/s-0042-1758134
Review Article

Elective and Emergent Surgery in the Ulcerative Colitis Patient

Michelle F. DeLeon
1   Department of Surgery, Mayo Clinic, Jacksonville, Florida
,
Luca Stocchi
1   Department of Surgery, Mayo Clinic, Jacksonville, Florida
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Abstract

Ulcerative colitis (UC) requires surgical management in 20 to 30% of patients. Indications for surgery include medically refractory disease, dysplasia, cancer, and other complications of UC. Appropriate patient selection for timing and staging of surgery is paramount for optimal outcomes. Restorative proctocolectomy is the preferred standard of care and can afford many patients with excellent quality of life. There have been significant shifts in the treatment of UC-associated dysplasia, with less patients requiring surgery and more entering surveillance programs. There is ongoing controversy surrounding the management of UC-associated colorectal cancer and the techniques that should be used. This article reviews the most recent literature on the indications for elective and emergent surgical intervention for UC and the considerations behind the surgical options.

Keywords

ulcerative colitis - total proctocolectomy - ileal pouch anal anastomosis - surgery


Publikationsverlauf

Artikel online veröffentlicht:
29. November 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
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