Preoperative Considerations in Inflammatory Bowel Disease.

Preoperative Considerations in Inflammatory Bowel Disease. Surg Clin North Am. 2019 Dec;99(6):1083-1094 Authors: McKenna NP, Lightner AL Abstract Patients with ulcerative colitis and Crohn's disease often present to surgery malnourished and on combination immunosuppression. These factors affect operation selection and postoperative outcomes. Corticosteroids have a well-established detrimental effect on postoperative outcomes, whereas the impact of biologic agents is more controversial. In a patient exposed to these medications, and in the presence of other risk factors, temporary intestinal diversion is likely the best choice. Enteral nutrition may help optimize malnourished patients at high risk of adverse postoperative outcomes. PMID: 31676049 [PubMed - in process]
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Surg Clin North Am Source Type: research