Emergent Surgical Treatment Results of Inflammatory Bowel Disease and Review of the Literature

Abstract

Crohn's disease (CD) require surgical intervention. Surgery can be preferred in cases such as unresponsiveness to immunomodulatory drugs, poor compliance of patients, the presence of multifocal dysplasia, obstruction, stricture and megacolon [2]. In patients with IBD, surgery can be elective or emergency, depending on the condition of the patient [3]. Subtotal colectomy plus ileostomy is

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“…The expected findings on histopathological examination include often classified granulomas surrounding the ulcers and particularly located in the submucosa showing tendency to coalesce in intestinal tuberculosis, and discrete ulcers, deep fissuring ulcers and noncaseified granulomas in CD. Although more commonly occurring in patients with UC, sometimes regeneration polyps can be seen around the ulcer sites macroscopically in patients with CD (Figures 4 & 5) [12]. In conclusion, the treatment must be tailored according to the localisation, severity and complications of disease in patients diagnosed with IBD based on clinical and histopathological findings.…”

“…As is known, Tbc most commonly affects the lungs and there are reports indicating an increase in the rate of extrapulmonary Tbc [11]. In patients with intestinal Tbc, histopathological appearance can mimic IBD particularly CD, and sometimes it produces a mass lesion that leads to confusion with malignancy [12].…”