Management of Crohn Colitis
Crohn disease can affect any segment of the intestinal tract, and the colon will be involved in approximately half of afflicted patients. Crohn disease of the colon can entail disease…
Cytomegalovirus Ileocolitis and Kaposi Sarcoma in HIV/AIDS
Introduction An unusual outbreak of Kaposi sarcoma (KS) and Pneumocystis carinii pneumonia among young homosexual men was first reported by the Centers for Disease Control and Prevention (CDC) in 1981….
Pseudomembranous Clostridium DifficileColitis
Introduction Clostridium difficile was originally described as a component of the normal intestinal flora of newborn infants by Hall and O’Toole in 1935, who also demonstrated that this organism produced…
Cecal Ulcer
Introduction Solitary ulcer of the cecum was first described by Cruveilhier in 1832. The subject of cecal ulcers is confusing and complicated because they are uncommon and have multiple causes….
Unhealed Perineal Wound
Introduction Excision of the rectum via a combined abdominal and perineal approach (i.e., an abdominoperineal resection [APR]) has been a time-honored technique for the management of rectal cancer and inflammatory…
Medical Management of Crohn Disease
Introduction Crohn disease (CD) is a chronic, relapsing, idiopathic inflammatory condition that primarily affects the gastrointestinal tract. The severity and location of CD are variable. CD, a transmural inflammation of…
Pouchitis and Functional Complications of the Pelvic Pouch
Introduction Despite recent advances in medical therapy, approximately 25% to 30% of patients with ulcerative colitis (UC) will need surgery for refractory colitis or colitis-associated neoplasia. For these patients, a…
Pelvic Pouch: Complications and Their Management
Introduction When a total proctocolectomy is required, the ileal pouch–anal anastomosis (IPAA) procedure is favored over an end ileostomy because the IPAA allows continence with defecation by the normal route….
Management of Acute Toxic Colitis and Megacolon
Introduction Toxic colitis and megacolon fall within the spectrum of inflammatory bowel disease (IBD). Toxic colitis, also referred to as acute, fulminant, or severe colitis, is a potentially life-threatening form…
Chronic Ulcerative Colitis: Surgical Options
Introduction Despite major advances in the medical treatment of ulcerative colitis (UC), surgery is still frequently required. Because the aim of surgery is to cure the disease, elimination of all…
