title: Can Surgery for Inflammatory Bowel Disease be Personalized?
abstract: In the treatment of Inflammatory Bowel Diseases (IBD) despite advances in medical therapies, surgery has maintained a leading role in the management of complications of the disease, as well as in cases of failure of medical therapy.
  
  
  
  discuss the possible role for a personalization in debated fields of surgical treatment of Crohn's disease and ulcerative colitis.
  
  
  
  Surgery has become more and more minimally invasive, struggling for a difficult balance between guidelines and personalized treatment tailored on the single patient's need. There is no room for fixed management for surgery in IBD. A tailored approach is key to better outcome in each specific patient.
authors.affiliation: Department of Biomedical Sciences, Humanitas University, via Manzoni 113, 20089 Rozzano, Milano, Italy.|Colon and Rectal Surgery Unit, Department of Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
authors.forename: Antonino
authors.initials: A
authors.lastname: Spinelli
authors.affiliation: Colon and Rectal Surgery Unit, Department of Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Marano
authors.affiliation: Colon and Rectal Surgery Unit, Department of Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Bacchelli
authors.affiliation: Colon and Rectal Surgery Unit, Department of Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
authors.forename: Nicolo Maria
authors.initials: NM
authors.lastname: Mariani
authors.affiliation: Department of Biomedical Sciences, Humanitas University, via Manzoni 113, 20089 Rozzano, Milano, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Montorsi
authors.affiliation: Colorectal Surgery Unit, Cajuru University Hospital, Catholic University of Paraná (PUCPR), Curitiba, Brazil.
authors.forename: Paulo Gustavo
authors.initials: PG
authors.lastname: Kotze
mesh_terms: D003093:Colitis, Ulcerative / Q000601:surgery*; D003424:Crohn Disease / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D017410:Practice Guidelines as Topic; D057285:Precision Medicine / Q000379:methods*
keywords: Crohn's disease; inflammatory bowel disease; personalization; surgery; tailored surgery; ulcerative colitis.