Gastrointest Endosc Clin N Am. 2022 Oct;32(4):761-776.doi: 10.1016/j.giec.2022.05.011. Epub 2022 Sep 19.

Debbie Bakes ¹, Ravi Pokala Kiran ²

Author information

¹Division of Colorectal Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 161 Fort Washington Avenue, 8th Floor, Herbert Irving Pavilion, New York, NY 10032, USA.

²Division of Colorectal Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 161 Fort Washington Avenue, 8th Floor, Herbert Irving Pavilion, New York, NY 10032, USA. Electronic address: rpk2118@cumc.columbia.edu.

Abstract

The complication rate after surgery in patients with inflammatory bowel disease is high owing to chronic inflammatory and suboptimal physiologic state, the effect of steroids and immunosuppressive medication, and the inherent complexity of the surgical procedures. Although some of the complications after surgery are similar for Crohn disease and ulcerative colitis, others are specific to the diagnosis. Complications are divided into early postoperative and late complications. Specific complications are related to more extensive surgery such as a proctocolectomy or reoperative procedures or with complex reconstructive procedures such as the ileoanal pouch and continent ileostomy.