While it is not always the first choice for managing IBD, Inflammatory Bowel Disease (IBD) surgery in Raleigh may become necessary in certain situations. IBD presents a unique challenge to both patients and healthcare providers due to its chronic and unpredictable nature. Medical therapies often provide effective management, but some patients may ultimately require surgical intervention to alleviate symptoms, address complications, or improve their overall quality of life.
Inflammatory Bowel Disease (IBD) includes two chronic diseases of the digestive tract: Crohn’s disease and ulcerative colitis (UC). If you have IBD, your specialist will recommend treatment based on your symptoms, health history, the severity of your condition, and personal risk factors. Many people with IBD need to undergo surgical treatment at some point in their life.
Good Candidates for Inflammatory Bowel Disease (IBD) Surgery
Patients who are suffering from IBD and want permanent relief would be good candidates for Inflammatory Bowel Disease (IBD) surgery. Patients who smoke will need to quit before the surgery and must also avoid alcohol consumption. Certain health conditions can affect the safety of the procedure, so all pre-existing conditions must be discussed during your consultation.
Patients who are highly recommended for surgery include those with complications of IBD such as strictures (narrowing of the intestine), abscesses, fistulas (abnormal connections between organs), or perforations.
Surgery is often considered when medical treatments such as medications (e.g., corticosteroids, immunomodulators, biologics) fail to adequately control symptoms or complications. Surgical intervention becomes necessary if Inflammatory Bowel Disease adversely affects a patient’s life with frequent hospitalizations or severe pain.
Patients will need to answer questions during their consultation for Inflammatory Bowel Disease (IBD) surgery. Symptoms must be discussed, along with details about their medical history, including any medications that they are taking. Your medical history will be assessed in depth to ascertain you are eligible for the surgery.
The process of IBD surgery will be explained clearly during the visit. Steps that patients need to take to prepare for the surgery will be discussed. Patients can take the time to ask any questions or bring up any concerns that they might have. You may also be given specific instructions on post-operative care to facilitate faster healing.
Inflammatory Bowel Disease (IBD) Surgeries
The surgery performed to correct your IBD will depend on the type of IBD you are experiencing. Open, laparoscopic, or robotic surgery may be performed.
For patients with Crohn’s disease, either perianal or abdominal surgery will be necessary. Perianal surgery can address fistulas, abscesses, strictures, and more, and in some cases, it is relatively simple. Abdominal surgery involves removal of colon or small-bowel segments.
For patients with ulcerative colitis, removal of the colon may be occur, and removal of the rectum may also be necessary. A pouch system will then be created to ensure proper functionality of the digestive tract.
Inflammatory Bowel Disease (IBD) Surgery Recovery
Instructions will be provided for patients to follow during the recovery period after Inflammatory Bowel Disease (IBD) surgery. Patients will experience swelling, tenderness, and bruising around the affected area. There should be as little physical exertion as possible while patients are recovering. Baths should also be avoided, and patients can instead take showers as directed.
Pain is common after surgery, and pain medication will be prescribed as needed. Pain gradually decreases over time. Depending on the surgery, patients may need to continue some IBD medications or start new ones to prevent disease recurrence. Proper care of surgical incisions or ostomies is essential to prevent infection and promote healing.