Inflammatory Bowel Disease
Surgical care for Crohn’s disease and ulcerative colitis, delivered in close partnership with gastroenterology, IBD nursing and dietetic colleagues.
Crohn’s disease
Crohn’s disease can affect any part of the gastrointestinal tract and may cause inflammation, strictures, fistulae or abscesses. Surgery is considered when medical therapy is no longer effective, or when complications arise that require intervention.
Ulcerative colitis
Ulcerative colitis affects the colon and rectum. Most patients are managed medically, but surgery may be required for disease refractory to medication, severe acute presentations, or where dysplasia is identified on surveillance.
Surgical management
Operative options are tailored to the individual and may include limited resection, restorative surgery, or staged procedures. Decisions are made jointly with the gastroenterology team and discussed thoroughly with the patient.
Surveillance colonoscopy
Some people with inflammatory bowel disease affecting the colon require surveillance colonoscopy after several years of disease. Timing depends on the extent and duration of inflammation and other risk factors, including primary sclerosing cholangitis and family history. Isolated proctitis and small-bowel Crohn’s disease do not automatically require this pathway. Your gastroenterologist or colorectal specialist will advise when surveillance should begin.
Multidisciplinary care
IBD is a long-term condition and ongoing care is shared between surgeon, gastroenterologist, IBD nurse, dietitian and general practitioner.
Common questions
Brief answers to questions patients often raise at consultation.
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Our practice team can assist with appointments, referrals and preparation questions.