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Current management of intestinal bowel disease: the role of surgery

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Abstract

Inflammatory bowel disease (IBD) is a chronic affection, in which the two main phenotypical components are Crohn’s disease and ulcerative colitis. In both diseases, medical treatment has the main role; in some phases of the natural history of IBD, surgery becomes an important therapeutic tool. The IBD represents a model of multidisciplinary management. Timing represents the key issue for proper management of IBD patients. For acute and severe IBD, the surgery can be a salvage procedure. Today, the laparoscopic approach plays an important role in armamentarium of the surgeon. Several articles compared the short- and long-term results between laparoscopic and open approaches in IBD. The aim of this review is to focus the role of surgery in IBD as well as the role of laparoscopic approach, and principally, the “state of the art” for surgical treatment, sometimes very challenging for surgeon, in all clinical features of IBD by a review of literature highlighted by the most recent international guidelines.

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Authors and Affiliations

  1. Unit of General Surgery, V. Cervello Hospital, Palermo, Italy

    Gaspare Solina

  2. Unit of General Surgery, Noto-Pasqualino Hospital, Palermo, Italy

    Stefano Mandalà, Camillo La Barbera & Vincenzo Mandalà

  3. Department of General Surgery, Buccheri La Ferla Hospital, Palermo, Italy

    Vincenzo Mandalà

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  1. Gaspare Solina
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Solina, G., Mandalà, S., La Barbera, C. et al. Current management of intestinal bowel disease: the role of surgery. Updates Surg 68, 13–23 (2016). https://doi.org/10.1007/s13304-016-0361-4

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