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Essential updates 2018/2019: Colorectal (benign): Recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases

This review outlines current topics on the surgical treatment of benign colorectal diseases, with a focus on inflammatory bowel disease (IBD) and diverticulitis. Treatment options for IBD and diverticulitis have evolved in the last few years as a result of medical advances in technology and new clin...

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Autores principales: Ogino, Takayuki, Mizushima, Tsunekazu, Matsuda, Chu, Mori, Masaki, Doki, Yuichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992682/
https://www.ncbi.nlm.nih.gov/pubmed/32021956
http://dx.doi.org/10.1002/ags3.12304
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author Ogino, Takayuki
Mizushima, Tsunekazu
Matsuda, Chu
Mori, Masaki
Doki, Yuichiro
author_facet Ogino, Takayuki
Mizushima, Tsunekazu
Matsuda, Chu
Mori, Masaki
Doki, Yuichiro
author_sort Ogino, Takayuki
collection PubMed
description This review outlines current topics on the surgical treatment of benign colorectal diseases, with a focus on inflammatory bowel disease (IBD) and diverticulitis. Treatment options for IBD and diverticulitis have evolved in the last few years as a result of medical advances in technology and new clinical trials. Therefore, treatment options and strategies need to be updated to provide optimal care for patients. The purpose of this review is to elucidate recent global trends and update the surgical treatment strategy for IBD and diverticulitis based on literature published in the past 2 years. Prevalence of IBD, including ulcerative colitis and Crohn's disease, has increased over the last few decades. During this period, many new medical therapies were introduced for the treatment of IBD, including biological therapy, immunomodulators, and leukocyte apheresis therapy. As a result, new surgical strategies for IBD are required. In order to improve surgical outcomes in IBD patients, the influence of preoperative treatment on postoperative complications needs to be considered. The incidence of diverticulitis is also increasing with lifestyle changes and increasing numbers of older people. For diverticulitis with perforation and generalized peritonitis, surgery is the gold standard. Elective surgery after conservative treatment of diverticulitis is also an option because of high recurrence rates. With an increase in diverticulitis, systematic strategies are essential for an appropriate approach to diverticulitis, taking into account various factors, including the patient's background.
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spelling pubmed-69926822020-02-04 Essential updates 2018/2019: Colorectal (benign): Recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases Ogino, Takayuki Mizushima, Tsunekazu Matsuda, Chu Mori, Masaki Doki, Yuichiro Ann Gastroenterol Surg Review Articles This review outlines current topics on the surgical treatment of benign colorectal diseases, with a focus on inflammatory bowel disease (IBD) and diverticulitis. Treatment options for IBD and diverticulitis have evolved in the last few years as a result of medical advances in technology and new clinical trials. Therefore, treatment options and strategies need to be updated to provide optimal care for patients. The purpose of this review is to elucidate recent global trends and update the surgical treatment strategy for IBD and diverticulitis based on literature published in the past 2 years. Prevalence of IBD, including ulcerative colitis and Crohn's disease, has increased over the last few decades. During this period, many new medical therapies were introduced for the treatment of IBD, including biological therapy, immunomodulators, and leukocyte apheresis therapy. As a result, new surgical strategies for IBD are required. In order to improve surgical outcomes in IBD patients, the influence of preoperative treatment on postoperative complications needs to be considered. The incidence of diverticulitis is also increasing with lifestyle changes and increasing numbers of older people. For diverticulitis with perforation and generalized peritonitis, surgery is the gold standard. Elective surgery after conservative treatment of diverticulitis is also an option because of high recurrence rates. With an increase in diverticulitis, systematic strategies are essential for an appropriate approach to diverticulitis, taking into account various factors, including the patient's background. John Wiley and Sons Inc. 2019-12-16 /pmc/articles/PMC6992682/ /pubmed/32021956 http://dx.doi.org/10.1002/ags3.12304 Text en © 2019 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterology This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Articles
Ogino, Takayuki
Mizushima, Tsunekazu
Matsuda, Chu
Mori, Masaki
Doki, Yuichiro
Essential updates 2018/2019: Colorectal (benign): Recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases
title Essential updates 2018/2019: Colorectal (benign): Recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases
title_full Essential updates 2018/2019: Colorectal (benign): Recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases
title_fullStr Essential updates 2018/2019: Colorectal (benign): Recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases
title_full_unstemmed Essential updates 2018/2019: Colorectal (benign): Recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases
title_short Essential updates 2018/2019: Colorectal (benign): Recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases
title_sort essential updates 2018/2019: colorectal (benign): recent updates (2018‐2019) in the surgical treatment of benign colorectal diseases
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992682/
https://www.ncbi.nlm.nih.gov/pubmed/32021956
http://dx.doi.org/10.1002/ags3.12304
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