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Clin Colon Rectal Surg 2016; 29(02): 080-084
DOI: 10.1055/s-0036-1580633
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Perioperative Considerations in Crohn Disease and Ulcerative Colitis

T. Paul Nickerson
1   Department of Surgery, Mayo Clinic, Rochester, Minnesota
,
Amit Merchea
2   Division of Colon and Rectal Surgery, Mayo Clinic, Jacksonville, Florida
› Author Affiliations
Further Information

Publication History

Publication Date:
26 May 2016 (online)

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Abstract

The management of inflammatory bowel disease (IBD) is medically and surgically complex. Numerous patient- and disease-oriented factors must be considered in treating patients with IBD, including nutritional replenishment/support, effect of immunosuppressive medications, extent of resection, and use of proximal diversion. Perioperative planning and optimization of the patient is imperative to ensuring favorable outcomes and limiting morbidity. These perioperative considerations in Crohn disease and ulcerative colitis are reviewed here.

Keywords

Crohn disease - ulcerative colitis - perioperative management - steroids - immunomodulators - biologics - nutrition
 

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