Title:Implication of Medical Treatment for Surgical Strategies in IBD
Volume: 20
Issue: 13
Author(s): Krisztina B. Gecse*Christianne J. Buskens
Affiliation:
- Departement of Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam,Netherlands
Keywords:
Anti-TNF, colectomy, (complicated) Crohn's disease, immunosuppressives, multidisciplinary, ulcerative colitis.
Abstract: Despite changing medical paradigm, still a significant proportion of patients with IBD require
surgery. The patient's general condition, including nutritional status and the use of immunosuppressive
medications is of great importance with regard to surgical complications, as well as the
choice of optimal surgical strategy. The indication and the timing of surgery are key factors for the
multidisciplinary management of IBD patients. The purpose of this review is to provide an overview
on the impact of medical treatment on surgical strategies in IBD.