Ileal pouch-anal anastomosis, Minimal access surgery, Open surgery, Surgical management of ulcerative colitis, Total proctocolectomy, Ulcerative colitis
Citation Information :
Mehta A, Agrawal A, Sandlas G, Viswanathan V. Evolution of Surgical Management for Ulcerative Colitis in the Last Decade: A Comprehensive Literature Review. World J Lap Surg 2022; 15 (3):246-248.
Introduction: Inflammatory bowel disease (IBD) is a term that canopies disorders which involve conditions causing chronic inflammation of the gastrointestinal tract (GIT). It mainly includes two conditions, viz.: Crohn's disease (Crohn's) and ulcerative colitis (UC). Ulcerative colitis had a high mortality rate of >50% until the mid-1950s corticosteroids were first introduced for its treatment. Since then, there have been many advances in the management of UC, with the current approach being initial treatment with pharmacological therapy and switching over to surgical management in refractory cases. Our review aimed to look at how the surgical management of UC has advanced over the last decade in various aspects. Materials and methods: The authors searched the PubMed database in December 2021 using the search terms “IPAA for UC” and “Total Proctocolectomy for UC”. After applying the inclusion and exclusion criteria, we found 57 articles that were numbered from 1 to 57 and entered in a randomizer (https://www.randomizer.org/) that gave us seven random numbers, and articles corresponding to those numbers were considered for this review. Conclusion: Surgical management for UC has evolved toward a minimal access approach in the last decade; however, complications such as pouchitis and anastomotic leak are still some of the challenges faced in surgical management for UC. Further multicenter cohort studies comparing the rates of complications in different approaches can produce results that may further improve patient outcomes.
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