NURS305 Lecture Notes - Lecture 3: Inflammatory Bowel Disease, Toxic Megacolon, Ulcerative Colitis
Document Summary
When non-surgical measures fail to relieve the severe symptoms of ibd. Common indicators of bowel surgery: medically intractable disease, lack of improvement & continued deterioration, poor quality of life, complications from the disease or its treatment, profuse bleeding, perforation, continued stricture formation, and cancer, e. g. Toxic megacolon with ulcerative colitis: requires surgical interventions if toxic megacolon does not respond within 24-72 hours with medical management. Elective indications: failed medical therapy, recurrent disease, fistula, abdominal abscess, stricture (narrowing of passage, malignancy/prophylaxis, failure to thrive in children. Elective indications: failed medical therapy, malignancy/prophylaxis, severe extra-intestinal manifestations. Surgical procedures for crohn"s disease (cd: surgery for cd is not curative. Common surgical procedures for ibd: long term maintenance therapy will still be required post-surgery on long term basis after surgery to prevent postoperative recurrence and further complications. Inflammatory changes and architectural abnormalities often have a patchy character which makes resection difficult.
