Summary:
Idiopathic inflammatory bowel disease requires complex treatment and patients are often considered to undergo the
surgery in the course of therapy. Though the conservative treatment of the Crohn’s disease and ulcerative colitis has
no major differences, the strategy of surgical treatment and the extent of the operation are in these two diseases
markedly different. In an aforethought patient in the clinically and metabolically good shape, the postoperative
morbidity and mortality is much lower. It is therefore desirable to do the most of surgeries as elective, though such
goal is not always achievable. Beside the appropriate time for the operation, the surgery should be done in the most
proper extent, therefore with the maximal care and considering the type and activity of the disease also with the
sufficient curative effect. As the surgical therapy of idiopathic inflammatory bowel diseases requires profound
experience in order to choose the correct type of operation, the close collaboration between the gastroenterologist
and surgeon is necessary and should be performed preferably at specialized departments.
Key words:
Crohn’s disease, ulcerative colitis, idiopathic inflammatory bowel disease
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