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When medication fails or complications occur, surgery is a crucial option for managing inflammatory bowel illnesses (IBD), such as Crohn's disease and ulcerative colitis. Any portion of the gastrointestinal system can be affected by Crohn's disease, and to relieve symptoms and fix structural damage like strictures or fistulas, surgical procedures such as Bowel Resection, Strictureplasty, or Fistula Repair are frequently required. Surgery such as Subtotal Colectomy with Ileostomy or Ileoanal Pouch Treatments may be necessary for ulcerative colitis, which mainly affects the colon and rectum, to remove diseased segments and maybe prevent consequences like toxic megacolon or dysplasia.
Modern surgical methods, like minimally invasive operations, have shortened recovery times and minimised complications. But surgery is usually reserved for patients for whom no other treatment is effective, and to maximise long-term results and quality of life for those suffering from these chronic inflammatory disorders, thorough consideration of potential risks and advantages is required. Manipal Hospitals is the best place for surgical treatment of Inflammatory bowel diseases IBD Crohn ulcerative Colitis in Dhakuria
Inflammatory bowel disease (IBD) is a group of disorders created by chronic inflammation of different parts of the intestine. The common IBD types are:
Ulcerative colitis: A disorder that results in inflammation of the large intestines and the rectum's inner lining. Common symptoms include abdominal pain, diarrhoea, weight loss, fatigue, and bloody stools.
Crohn’s disease: A chronic inflammatory condition of the intestines, affecting the colon and ileum. Crohn’s disease is often associated with the development of ulcers and fistulae in the intestinal lining. The condition presents symptoms similar to ulcerative colitis, which include fatigue, fever, weight loss, diarrhoea, and bloody stool.
Research studies conducted in India point towards a rise in the number of people living with inflammatory bowel diseases, reflecting a need for more research to find a cure.
The estimated prevalence of IBD in India is 1.4 million, placing a strong emphasis on environmental factors responsible for the disease.
The estimated global prevalence is 6.8 million, with the USA leading in IBD disease burden.
When medicinal treatments fail to manage symptoms or complications, including strictures, fistulas, abscesses, or dysplasia, surgery becomes an important part of managing Crohn's disease and ulcerative colitis. Surgery for Crohn's disease tries to expand narrowed sections (Strictureplasty), remove diseased segments of the colon (Resection), or fix improper connections between organs (Fistula Repair). To maintain continence in patients with ulcerative colitis, surgical procedures may include removing the diseased colon (Subtotal Colectomy) and creating an ileoanal pouch.
When non-surgical treatments are unable to control symptoms or when complications endanger a patient's life or health, surgery is usually taken into consideration. Surgery is indicated for Crohn's disease patients who have intestinal blockage, perforation, fistulas, abscesses, or substantial gut narrowing (strictures). Surgery may be required for ulcerative colitis if the condition is severe and not improving with medicine, if there are complications such as toxic megacolon or dysplasia (precancerous abnormalities in the colon), or both.
For ulcerative colitis: During surgery, the whole colon and rectum are removed, and an internal pouch connected to the anus is created to enable bowel movements without the need for a bag. A pouch may not always be feasible. As an alternative, doctors make an ileal stoma, a permanent incision in your abdomen, through which faeces are delivered and collected in a bag that is attached.
For IBD: In their lifetime, up to two-thirds of individuals with Crohn's disease will need surgery. Nevertheless, Crohn's illness cannot be cured by surgery. The digestive tract's diseased pieces are removed during surgery, and the healthy sections are reconnected. Draining abscesses and sealing fistulas can both be done surgically.
By lowering symptoms including diarrhoea, bleeding in the rectal area, and stomach pain—all of which are frequently incapacitating in Crohn's disease and ulcerative colitis—surgery can dramatically enhance the quality of life. Surgery tries to restore bowel function while limiting the need for medication and lowering the risk of problems associated with chronic inflammation by removing diseased tissue or constructing functional alternatives such as ileoanal pouches.
The length of recovery following IBD surgery varies based on the procedure carried out and personal health circumstances. Patients typically go through a hospital stay for a while before gradually recovering at home. The healing process usually includes pain treatment, nutritional changes, and a gradual return to activity. Scheduling follow-up consultations with healthcare experts is essential for medication management, healing monitoring, and addressing any issues or difficulties that may arise after surgery.
The risks associated with anaesthesia include the following:
Infection
Haemorrhage
Pouch dysfunction
Bowel leaks
After surgery, problems including pouchitis (inflammation of the ileoanal pouch) or bowel blockage might happen in patients with ulcerative colitis. However, improvements in surgical methods, such as minimally invasive procedures, have helped lower these risks and speed up recovery.
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