الفهرس | Only 14 pages are availabe for public view |
Abstract Inflammatory bowel disease is a general term designated to a number of clinical pathologic disorders in children and adults who present with similar clinical manifestations which include fever, diarrhoea -with or without blood- and distention (Kirsner. 1978). The increased incidence of different inflammatory lesions of the small and large intestine have drawn the attention of both physicians and surgens for further studies of their various aspects. In addition t o the well knwon granulomatous enterocolitis Chron’s disease and ulcerative colities which are chornic diseases of unkown aetiology, other inflammatory lesions will be considered. The development of fibrooptic colonoscopies and the ability to study the whole mucosal surface of the colon. have Widened follow up and discovery of early malignancy. Medical treatment alone is of value when the disease is mild, but it is now generally accepted that in severe or established cases the surgical treatment is the only solution. This essay aims at studying the different items of ulcerative colitis and Crohn’s disease, focusing on the main operative techniques for conserving continence in the surgical management. Also the other common inflammatory bowel lesions are considered in this essay. Diverticulitis is not included in this essay as the primary state of the disease ”diverticulosis” is considered as a bowel motility disorder and is not intlammatOiy from the start. |