IBD surgery

Question 1

Aetiology of IBD

Answer 1

Genetic
Infection
Hypersensitivity

Question 2

Define acute severe attack of UC

Answer 2

> 6 stools/day with;

Pyrexia, anaemia, Tachycardia (two or more)

Question 3

Emergency surgery in IBD indicated when:

Answer 3

Toxic megacolon
Colonic perforation
Massive haemorrhage

Question 4

Urgent surgery in IBD indicated when:

Answer 4

Failed medical therapy of acute attack (3-5 days high dose iv steroids)

Question 5

Elective surgery in IBD indicated when:

Answer 5

Chronic ill health

Risk of malignancy

Question 6

How to manage anal fistulae in Chron’s

Answer 6

Setons rather than fistulotomy