Mastery of IBD Surgery
This book provides a guide to the management of patients with Crohn’s disease and ulcerative colitis. The indications for surgery within inflammatory bowel disease are covered, as well as new biologic medications and the effects they have on the immune sy
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Mastery of IBD Surgery
Neil Hyman • Phillip Fleshner Scott Strong Editors
Mastery of IBD Surgery
Editors Neil Hyman Colon and Rectal Surgery University of Chicago Chicago, IL USA
Phillip Fleshner Section of Colon and Rectal Surgery Cedars-Sinai Medical Center Los Angeles, CA USA
Scott Strong Feinberg School of Medicine Northwestern University Chicago, IL USA
ISBN 978-3-030-16754-7 ISBN 978-3-030-16755-4 (eBook) https://doi.org/10.1007/978-3-030-16755-4 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Dr. Fleshner I dedicate this book to my three kids (Alex, Niki and Jake) and my wife (Shelley). The four of you will always be my everything in life. Dr. Hyman’s Dedication: With boundless love to my sons EJ and Seth, the two finest men I know. “Bear in mind that the measure of a man is the worth of the things he cared about” Dr. Strong My contributions are dedicated to my wife and best friend, Mary, and daughters, Mallory and Martha, who are my greatest source of joy. —Marcus Aurelius
Preface
The surgeon managing a patient with inflammatory bowel disease (IBD) must be thoroughly grounded in key management principles to achieve optimal outcomes and provide an individualized treatment plan. The IBD surgeon commonly considers many factors to assess when it is or not appropriate to operate and the best operation for each unique patient. The IBD surgeon considers many factors such as nutritional status, immunomodulatory medications and degree of local sepsis when deciding on the timing and extent of surgery and how the patient may be optimized to make surgery safer. Adequate (but not excessive) imaging, properly interpreted, is often critica
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