IBD Flashcards
what procedures are involved in ‘planned emergency’
subtotal colectomy for UC
resection of Crohn’s disease
elective procedures for Crohn’s
resection
stricturoplasty
fistulas
anal disease
elective procedures for UC
proctocolectomy with end ileostomy
proctocolectomy with ileorectal anastamosis
what does an ileostomy look like
smaller
redder and more raised
what does a colostomy look like
wider
less raised
indications for elective UC surgery
medically unresponsive intolerability
dysplasia / malignancy
growth retardation in children
with an elective proctocolectomy, what are the options for the output
end ileostomy
pouch - creates a rectum like resevoir
ileorectal anastamosis
does a pouch do the same job as a rectum
no
more bowel movements and risk of incontinence
it is better to avoid operating on the rectum when it is acutely flared, true or false
true
what is an emergency complication of IBD
toxic megacolon
implications of toxic megacolon
distension
abdominal pain
sepsis
perforation
what is the 3,6,9 rule in regards to toxic megacolon
> 3cm small bowel
6cm large bowel/transverse colon
9cm caecum
surgery can cure UC, true or false
true
indications for surgery in Crohns
stenosis strictures fistulas abscesses bleeding perforation
what can you do for multi site disease in Crohns
stricturoplasty of lesions instead of resection with balloon dilatation
