Surgical Therapies for IBD Flashcards

1
Q

What is an example of a planned emergency operation?

A

Sub total colectomy for UC

Resectino for crohn’s disease

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2
Q

What is claeed an unexpeted finding “suprise” operation?

A

Diagnostic laparoscopy

Recta/ anal disease

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3
Q

What are the elective surgeries that can be performed for crohn’s disease?

A

Resection
Stricturoplasty
Fistulas
Anal disesae

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4
Q

What are the elective operations for UC?

A

Prorocolectomy with end ileostomy

Protocolectomy with ileorectal anastomosis

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5
Q

What are the indications for elective surgery in ulcerative colitis?

A
Medically unresponsive disease 
Intolerability 
Dysplasia/ metaplasia
Growth retardation in children 
Attemptped resolution of extrea-intestinal disease
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6
Q

What are the 3 different types of pouches?

A

W pouch
J pouch
S pouch

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7
Q

What are the intermediate complications of a resection?

A

HAemorrhage
Enterotomy
Anaphylaxis

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8
Q

What are the early complications of resection?

A
Urinary dysfunction
Wound infection
Pelvic abscess
Anastomotic leak
Atelectasis
Ileus
Portal vein thrombosis
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9
Q

What are the late complications of a resection?

A
Imptence
Infertility 
Puchitis 
DVT/ PE
Small bowel obstruction
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10
Q

What is the truelove and Witt critea for a severe attack of UC?

A
ESR/ CRP
Haemoglobin 
Bloody stools
Temperature 
Heart rate
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11
Q

What is a subtolal colectomy?

A

Lap or open
Rectal stump can be brought out as a mucous fistula
Stapled and left in (riskier)

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12
Q

What is toxic megacolon?

A
Sepsis
Distension 
Pain 
Requires decromression 
May perforate
Can be fatal
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13
Q

What are the indications of surgery in CD?

A
Stenosis causing obstruction 
Enterocutaneous fistulas
Inta-abdominal fistulas
Abscesses
Bleeding (acute or chronic) 
Free perforation
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14
Q

What can be perormed for a duodenal or pyloric stenosis?

A

Gastrojejunostomy

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15
Q

What can be performed for a multisite disease?

A

Stricturoplasty of lesions instead of resection

Balloon dilatation

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16
Q

What is the management for fistulating disease and abscess?

A

Sepsis
Nutrition
Anatomy
Plan (or prolonged hostpital stay)

17
Q

What colonic surgery can be done for crohn’s colitis?

A
Emergency colectomy
Segmental colectomy 
Total colectomy 
Panprotocolectomy 
Pouches
18
Q

What are the different types of lesions in perianal disease?

A
Primary lesions (fissure, ulcer) 
Secondary lesions (abscess, tags, fistulas) 
Incidental lesions (piles, hidradentisis)
19
Q

Can UC be cured by surgery?

A

Yes, with a pouch for the rectum

20
Q

Can CD be cured by surgery?

A

No, managed through surgery but never cured