Operative Strategies in Inflammatory Bowel Disease

Operative strategiesin inflammatory small bowel disease, provides a thorough review of the operative techniques as well as the indications, and long term results for the surgical treatment of ulcerative colitis and Crohn' s Disease. As IBD is characterized by a high incidence of re-operations and complications, separate sections of the text are entirely devoted to surgical treatment of specific complications and management of recurrent disease in both ulcerative colitis and Crohn' s Disease. In addition, the text addresses the complex interface exists between the medical and surgical management of IBD with important information on medical treatment, endoscopic evaluation, pathology, radiology, and etiology. Exquisitely illustrated with over 175 line drawings, and photographs to give the surgeon step-by-step guidance through a variety of complext surgical procedures.

Section I Inflammatory Bowel Disease: Overview. - 1 Etiologic Concepts of Inflammatory Bowel Diseases: Past, Present, and Future. - 2 Epidemiology. - 3 Pathogenesis. - 4 Surgical Pathology. - 5 Endoscopic Evaluation. - 6 Radiographic Evaluation. - 7 Medical Therapy. - 8 Indications for Surgical Treatment in Ulcerative Colitis and Crohn s Disease. - Section II Ulcerative Colitis. - 9 Proctocolectomy with Ileostomy, Abdominal Colectomy with Ileostomy, and Abdominal Colectomy with Ileoproctostomy. - 10 Restorative Proctocolectomy with Ileoanal Anastomosis. - 11 Ileal Reservoirs. - 12 Proctocolectomy with the Kock Pouch. - 13 Management of Hemorrhage. - 14 Toxic Colitis and Perforation. - 15 Dysplasia and Cancer. - Section III Crohn s Disease. - 16 Strictureplasty and Mechanical Dilation in Strictured Crohn s Disease. - 17 Bypass Procedures. - 18 Small Bowel Resection. - 19 Ileocecectomy. - 20 Segmental Colectomy. - 21 Total Abdominal Colectomy: Indications and Technique. - 22 Abdominal-Perineal Resection. - 23 Laparoscopy in Inflammatory Bowel Disease. - 24 Perineal Proctectomy. - 25 Construction of Intestinal Stomas. - 26 Surgical Treatment of Fistulas. - 27 Intraabdominal Mass and/or Abscess. - 28 Free Perforation. - 29 Intestinal Hemorrhage. - 30 Cancer. - 31 Gastroduodenal Crohn s Disease. - 32 Crohn s Anorectal Disease. - 33 Ileoanal Pouches. - 34 Operative Strategy in Recurrent Crohn s Disease. - Section IV Inflammatory Bowel Disease: Surgical Treatment. - 35 Septic Complications. - 36 Management of the Persistent Perineal Wound. - 37 Ileostomy. - 38 Urinary and Sexual Complications. - 39 Dehiscence of Ileoanal Anastomosis. - 40 Perineal Complications after Ileal Pouch-Anal Anastomosis. - 41 Pouchitis.