Surgical indications for ulcerative colitis
- CRC as a reason for colectomy is increasing over time
- ⬆️medical therapies ->⬆️ duration of disease before surgery
- ⬆️cumulative inflammation -> ⬆️colitis assoc. dysplasia/cancer
- stages of CRC has remained stable (~40% with LNM)
S2S vs E2E anastomoses in Crohn's disease
- retrospective series (n=127)
- similar rates of endoscopic recurrence
- lower surgical recurrence with S2S
Possible reasons:
- less faecal stasis
- greater distance b/w stapler line and neo-TI inflammation
In high risk non-variceal UGIB, OTSC should be considered over TTS clips as first line (STING-2)
- high risk in this study defined as Rockall score ≥7
- OTSC lead to higher successful haemostasis and lower rebleeding rates
- no differences in mortality or need for surgery
Periappendiceal red patch in ulcerative colitis
- aka caecal patch, appendiceal orifice inflammation
- a curious finding
- does not influence management
- does not mean that the disease is extensive
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