Criteria for surgical decision-making: biologics, age, nutrition, desire for pregnancy….


Presented by Elizabeth Collens Wick, MD at the SAGES 2013 Annual Meeting; SAGES/ISLCRS Panel: IBD

objectives–10 sec
CD overview–28 sec
surgery for CD–1:10
perf-disease: intra-abdominal abscess–2:05
perf-disease: fistulas–3:11
non-perf: strictures–3:55
endoscopic balloon dilation–4:34

Keyword(s): 5-ASA derivatives, abdominal pain, ABX, active disease, adverse events, AJG, algorithm, anastomotic leak, APT, azathioprine, biologics, bladder, bowel, bowel preservation, bowel resection, CD, chemoprevention, CI disease, cohort study, collaboration, conception, conservative management, controversial, CT scan, definitive tx, disease activity, disease exacerbation, disease recurrence, drain, DVT, dx, edematous bowel, efficacy, endocopic tx, endoscopic balloon dilation, endoscopic dilatation, endoscopy, entero-entero fistula, enterovesicle fistula, f/u challenges, family planning, fertility, fever, fibrotic, fistulae, gastroenterologist, Gastroenterology, general surgery, GI tract, IBD, ileal resection, ileocectomy, ileocoloic stricture, ileocolonic resection, ileosigmoid fistula, ileostomy, immunomodulators, immunosuppressive therapy, infections, infliximab, intestinal inflammation, intestinal obstruction, intra-abdominal abscess, ISLCRS, JOGS, long-term outcomes, LOS, low birth weight, M&M, malnutrition, medical therapy, medical tx, medications, mesalamine, meta-analysis, MR, multi-disciplinary approach, multidisciplinary decision, non-perforating, nutrition, nutritional therapy, obstruction, pathophysiology, perc drainage, perf, perforating, periop risk factors, placebo, postop complications, postop medical management, postop prophylaxis, pregnancy, pregnancy outcomes, premature birth, premature delivery, presentation, pt selection, QOL, quiescent IBD, randomized, rate of recurrence, readmission, refractory symptoms, relapse, remicade, repeat surgery, risk stratification, SB resection, sepsis, sigmoid colon, sperm motility, statistical significance, stricture, stricturoplasty, sulfasalazine, surgical complications, surgical decision making, surgical intervention, surgical management, surgical outcomes, systemic infection, TNF inhibitors, TPN, wound infection

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