SURGERY

SURGERY

Many general surgeons have relatively little experience in managing patients with IBD. High-volume centres have lower morbidity and mortality rates after colectomy for emergency surgery for IBD and after primary ileocaecal resection for CD. Specialist units also have a lower failure rate following IPAA and are more likely to o ff er subsequent restorative surgery , - rather than permanent stoma, for patients who have required emergency colectomy . Less common aspects of IBD surgery , including the need for revision or excision pouch surgery , rectov aginal fistula management, Kock pouch formation or care of adolescent patients, require specialist expertise to achieve good outcomes.