title: Current management of intestinal bowel disease: the role of surgery.
abstract: Inflammatory bowel disease (IBD) is a chronic affection, in which the two main phenotypical components are Crohn's disease and ulcerative colitis. In both diseases, medical treatment has the main role; in some phases of the natural history of IBD, surgery becomes an important therapeutic tool. The IBD represents a model of multidisciplinary management. Timing represents the key issue for proper management of IBD patients. For acute and severe IBD, the surgery can be a salvage procedure. Today, the laparoscopic approach plays an important role in armamentarium of the surgeon. Several articles compared the short- and long-term results between laparoscopic and open approaches in IBD. The aim of this review is to focus the role of surgery in IBD as well as the role of laparoscopic approach, and principally, the "state of the art" for surgical treatment, sometimes very challenging for surgeon, in all clinical features of IBD by a review of literature highlighted by the most recent international guidelines.
authors.affiliation: Unit of General Surgery, V. Cervello Hospital, Palermo, Italy. g.solina@villasofia.it.
authors.forename: Gaspare
authors.initials: G
authors.lastname: Solina
authors.affiliation: Unit of General Surgery, Noto-Pasqualino Hospital, Palermo, Italy. stefano.mandala@gmail.com.
authors.forename: Stefano
authors.initials: S
authors.lastname: Mandalà
authors.affiliation: Unit of General Surgery, Noto-Pasqualino Hospital, Palermo, Italy.
authors.forename: Camillo
authors.initials: C
authors.lastname: La Barbera
authors.affiliation: Unit of General Surgery, Noto-Pasqualino Hospital, Palermo, Italy.|Department of General Surgery, Buccheri La Ferla Hospital, Palermo, Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Mandalà
mesh_terms: D003107:Colorectal Surgery / Q000379:methods*; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D016896:Treatment Outcome
keywords: Crohn’s disease; Inflammatory bowel disease; Laparoscopic surgery; Surgery; Ulcerative colitis