Surgery: Inflammatory intestinal diseases (ulcerative colitis, crohns disease) — Partial intestinal resection. Treatment
Despite the rapid development of medical science, the cause of ulcerative colitis and Crohn's disease (inflammatory bowel disease, IBD) has not been established yet. To maintain the functioning of the digestive system, the patients affected by this disease undergo regular examinations and conservative treatment. According to statistics, nearly one-third of patients with IBD undergo surgery associated with the disease progression during their lifetime.
During the first visit to the clinic, the professional examines the patient and collects his/her case history. The plan of the general clinical examination is made individually and usually includes:
- complete blood count and urinalysis;
- biochemical blood test;
- abdomen ultrasonography;
- gastroscopy with biopsy: this study visualizes the inner lining of the stomach and small intestine entry and allows taking samples for histological examination;
- colonoscopy with biopsy: it is carried out for survey of the colon mucous membrane.
Bowel resection involved the resection of its part in which the pathological changes are particularly pronounced and may lead to dangerous complications (bleeding, perforation, obstruction).
Before the intervention, a preparation according to the pre-operational standards for the fullest purgation is prescribed. The partial resection is performed under general anesthesia by laparotomy or laparoscopy. The first option is less traumatic, but often the resection of a large bowel area does not allow using the same.
During the first day after surgery, the patient stays in the intensive care unit, after which s/he is transferred to a general ward. The patient stays in the clinic full time for 13 days, receiving a palliative care and treatment for postoperative rehabilitation. The nursing services are provided according to the standard. The cost of essential drugs shall be checked at the clinic. The patient is discharged after consultation on nutritional therapy and recommendations for further treatment.Hide
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