Colitis Surgery

Colitis surgery

        It is not a permanent cure for Crohn's disease: recurrence remains possible. It should not be considered a first line treatment, but rather as a solution imposed by treatment failure or medical complications. The goals of surgery are to remove the diseased colon while preserving continence and sexual function. The choice of intervention depends on several factors, including the indication and urgency of surgery, age, general condition, state of the anal function and patient preference.

Colitis surgical treatment

        It provides emergency response to treat a complication or remotely to cure disease and avoid further complications.

Colitis emergency surgery

        It is intended to treat a serious complication threatening the health of the patient. Surgery infectious complications: it is most often to perform a laparoscopy to clean and drain an abscess or peritonitis. Sometimes excision of the infected area should be decided, in order to restore the continuity of the bowel. Complications of bleeding requires prior colonoscopy to locate the area. The extent of resection may be more or less depending on the location. If surgery is decided in an emergency, a colostomy is sometimes required.

Colitis surgery pictures

Colitis elective surgery

        It is generally considered that the risk of recurrence of disease outbreak decreases with the number of surge: 30% after a first outbreak, 85% afterthird. It seems reasonable to propose surgery after 2 relapses or after first major disease outbreak (abscess). The surgery should include the removal of infected areas and diverticular area of maximum overpressure corresponding to the hinge rectosigmoid. The remaining colon must be mobilized to be anastomosed to the rectum.

Laparoscopic colectomy

        Most often this surgery is performed under laparoscopy technique in order to explore the abdominal cavity, previously distended by carbon gas insufflation through an endoscope. The endoscope is introduced through an orifice of 10 mm. The intervention will include the mobilization of the colon particularly in the spleen and the control of vessels section while maintaining a vascular arcade.