This book reviews the latest advances in treating ulcerative colitis. Its structure is designed to reflect the natural presentation of the disease; accordingly, it starts with the symptoms and the clinical picture, before addressing the use of radiological and endoscopic studies that are performed to make a diagnosis, and the role of the pathological examination. The book also includes detailed information on the medical treatment of the disease, written by some of the most expert gastroenterologists in the field, while also paying considerable attention to the latest medical treatments and to expected future developments. The book describes various surgical techniques for ulcerative colitis in detail, providing readers with concrete guidelines on which is the most appropriate operation to perform in any given case. It also presents extensive information on the most important operation, the formation of the IPAA (ileal pouch-anal anastomosis), together with helpful tips and tricks.A closing chapter addresses the long-term complications that can occur after a pouch formation, and what to do for each case. As such, the book offers a unique and comprehensive guide for surgeons, gastroenterologists, researchers and students alike.

Autorentext

Gilberto Poggioli is a Full Professor of General Surgery at the University of Bologna.

Focusing on the treatment of IBD for surgeons and gastroenterologists, he developed an extensive experience in clinical research, in particular on surgery of inflammatory bowel disease and abdominal procedures, both with a laparotomic and minimally invasive laparoscopic approach. His expertise in the treatment of patients with Crohn's disease is demonstrated by more than 2000 procedures performed, including resective and bowel sparing surgery, while more than 1400 restorative proctocolectomies attest to his experience in the treatment of Ulcerative Colitis.

Prof. Poggioli has also published nearly 350 papers in peer-reviewed journals and for national and international congresses.

Inhalt

1. History of the ulcerative colitis.- 2. Presentation and nature course of the ulcerative colitis.- 3. Diagnosis: imaging techniques.- 4. Diagnosis: the role of the endoscopy.- 5. Diagnosis: morphology and histopathological characteristics.- 6. Medical treatment: Does the traditional therapy still have a role?.- 7. Medical treatment: the new therapies and future prospects.- 8. Surgical treatment: evolution.- 9. Surgical treatment: how has the timing of surgery changed.- 10. Surgical treatment: Indication and techniques.- 11. Surgical treatment: Role of laparoscopy and new minimally invasive techniques.- 12. Outcomes: results and quality of life after surgery.- 13. Outcomes: long-term complications after surgery (pouchitis, pre-pouch ileitis, megapouch).- 14. Outcomes: Management and treatment for fistula after pouch formation