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Can Surgery for Inflammatory Bowel Disease be Personalized?

[ Vol. 19 , Issue. 7 ]

Author(s):

Antonino Spinelli*, Alessandra Marano, Claudio Bacchelli, Nicolo Maria Mariani, Marco Montorsi and Paulo Gustavo Kotze   Pages 798 - 804 ( 7 )

Abstract:


Background: In the treatment of Inflammatory Bowel Diseases (IBD) despite advances in medical therapies, surgery has maintained a leading role in the management of complications of the disease, as well as in cases of failure of medical therapy.

Objective: discuss the possible role for a personalization in debated fields of surgical treatment of Crohn's disease and ulcerative colitis.

Conclusions: Surgery has become more and more minimally invasive, struggling for a difficult balance between guidelines and personalized treatment tailored on the single patient's need. There is no room for fixed management for surgery in IBD. A tailored approach is key to better outcome in each specific patient.

Keywords:

Crohn's disease, inflammatory bowel disease, surgery, personalization, tailored surgery, ulcerative colitis.

Affiliation:

Department of Biomedical Sciences, Humanitas University, via Manzoni 113, 20089 Rozzano, Milano, Colon and Rectal Surgery Unit, Department of Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Colon and Rectal Surgery Unit, Department of Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Colon and Rectal Surgery Unit, Department of Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Department of Biomedical Sciences, Humanitas University, via Manzoni 113, 20089 Rozzano, Milano, Colorectal Surgery Unit, Cajuru University Hospital, Catholic University of ParanĂ¡ (PUCPR), Curitiba

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