Colorectal surgery for IBD cure

By: yariyan

No surgical procedure is easy to adopt and deal with, and surgery for IBD is no different. IBD is an autoimmune condition that causes inflammation in the gastrointestinal tract, along with triggering non-specific yet serious symptoms like diarrhoea, which can lead to heavy loss of water and nutrients such as vitamins, minerals, carbohydrates, healthy fats, and proteins. Crohn’s disease and ulcerative colitis are the commonly diagnosed forms of IBD. However, a fewer cases might include several other forms of inflammatory bowel disease conditions. Some of them are:
1.Collagenous colitis
2.Lymphocytic colitis
3.Ischaemic colitis
4.Diversion colitis
5.Behçet's syndrome
IBD can trigger several generic symptoms. Below are the common signs that can indicate the onset of inflammatory bowel disease:
1.abdominal pain
4.rectal bleeding
5.weight loss
IBDs can also result in several extra-intestinal symptoms such as arthritis, pyoderma gangrenosum, and primary sclerosing cholangitis. Based on the diagnosed symptoms, and the severity of the disease condition, inflammatory bowel disease can be controlled and combated with both medications and surgeries. Medications are adopted during the preliminary treatment methods recommended to battle with IBD. Commonly recommended IBD medications include the chemically derived drugs such as corticosteroids and aminosalicylates, as well as biologics for IBD, the category of genetically derived drugs that are often recommend for patients who suffer from mild to severe disease conditions. Surgeries are suggested during the latter stage of the treatment processes, when medications fail to achieve the expected results. No matter whether one chooses to have a surgical therapy for Crohn’s disease or ulcerative colitis both cannot be regarded as complete and guaranteed cures that help bid goodbye to the debilitating IBD conditions. However, surgeries can help patients keep complicated IBD conditions at bay. Surgeries for IBD are sure shot ways to achieve remission easily.
The worst among the outcomes of inflammatory bowel disease conditions, colorectal cancer is a life-threatening condition that IBD patients fear the most. This is the key reason why patients who suffer from IBD conditions like Crohn’s disease look for time-bound medication therapies and surgery for IBD, as the right way of combating the disease condition can help avoid grave symptoms. On the other hand, failure to detect the disease on time, and lack of adequate treatment method can aggravate the disease condition and eventually lead to colorectal cancer, which include either colon cancer or an equally debilitating rectal cancer. In order to reduce the risk of colorectal cancer, IBD patients can take the following steps:

1.Colorectal cancer screening - When detected during the earlier stages, colorectal cancer can be treated successfully. This is the reason why IBD patients are advised to undergo colorectal cancer screening on a regular basis. This is mandatory for those who suffer from acute disease conditions for more than ten years, and have inflammation in more than a third of the colon. Colorectal cancer screening and surveillance colonoscopies are often is recommended once in a year. This includes biopsies to detect precancerous changes or dysplasia.
2.Adhere to the prescribed medications - IBD medications like sulfasalazine, corticosteroids, immunosuppressants, antidiarrheals, and antispasmodics can reduce inflammation and maintain remission, thus lowering the risk of colorectal cancer.
3.While no specific diet can work wonders and help Crohn’s disease patients maintain remission, minimizing the amount of fiber, seeds, nuts, as well as raw vegetables and fruits with skins can easily reduce flares and guarantee long-term remission.
4.Smoking can gradually worsen IBD symptoms and increase the risk of colorectal cancer.
5.Long standing ulcerative colitis and Crohn’s disease are more vulnerable to colorectal cancer.
6.Colorectal cancer accounts for almost 15 percent of the deaths among IBD patients.

Ulcerative colitis
Surgery is recommended only in cases when medicines fail to deliver the expected results, thus leaving no options other than the surgical removal of the affected area. With that said, we must also remember that surgery for IBD conditions like ulcerative colitis cannot assure a complete cure, but can promise lasting phases of remission or a symptom-free phase of absolute relief. Total proctocolectomy is a commonly recommended surgical option for ulcerative colitis patients. It involves the removal of the colon and rectum. However, partial proctocolectomy is also recommended in certain rare cases. But the probability of recurrence of the disease condition can be comparatively higher among patients who opt for partial proctocolectomy.
Classic permanent ileostomy was often recommended subsequent to proctocolectomy. But this has now been replaced by ileoanal pouch anastomosis, thereby helping patients eliminate the need to wear an extra ostomy appliance.
According to researches, more than 20 percent of ulcerative colitis patients will have to choose surgery to get lasting cure from acute symptoms.

Crohn’s disease
Surgery can never guarantee a complete cure, however, it helps Crohn’s disease patients prevent complications and life-threatening symptoms that might arise due to unresponsive medical treatments.
Approximately two thirds to three quarters of Crohn’s disease patients will have to undergo more than one surgical procedures during their lifetimes.
Based on the return of symptoms that might occur after a long phase of recession or symptom-free period, several Crohn’s disease patients might face symptom recurrences after a time period.
With the advancement of surgical procedures, more and more methods have been discovered and adopted for focused and targeted surgical removal that targets the affected area alone, while assuring the health of the unaffected areas close by.
According to surgeons, recurrences are not common among patients who choose ileostomy, when compared to resection and re-anastomosis. But recurrences can be higher amongst those who suffer from “aggressive” symptoms.
Recurrences after surgery are often located at or in front of the site of anastomosis.

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