Pocket Guide to IBD, Second Edition

Marla Dubinsky, MD; Sonia Friedman, MD

Chapter 13: The Postoperative Patient (continued)

Judy F. Collins, MD

The patient with IBD who has just had surgery may have problems with wound pain, bowel recovery, or discomfort related to drains. When these patients call, it is helpful to know what type of surgery they have had, when it was done, and what their symptoms are. If the surgery involved any type of bowel resection, then the first things to consider are wound dehiscence, infection, abscess formation, anastomotic leak, ischemia of the anastomosis, and small bowel obstruction. Symptomatic disease recurrence tends to occur months after resection, but if the patient has a retained rectum or retained…