Surgery for Inflammatory Bowel Disease-Crohn's Disease and Ulcerative Colitis

Inflammatory bowel disease or IBD is an inflammatory disease of the gastrointestinal tract. Crohn’s disease (CD) and ulcerative colitis (UC) are the two main types of IBD. The cause of IBD is unknown and there is no known cure for Crohn’s disease. Ulcerative colitis, however, can be cured with surgery.

Patients with IBD are initially treated with medications by their gastroenterologist, but often need surgery when the disease progresses or complications develop.

Click here to learn more about Crohn’s disease and Ulcerative colitis.

Surgery for IBD

We understand that many patients are concerned about needing surgery for their IBD. Surgery for IBD can be complex and naturally patients want the best possible outcomes. Our surgeons are experts in taking care of patients who need surgery for their IBD. We perform all the necessary surgeries to treat IBD including:

  • Small bowel and colon resections
  • Bowel preserving strictureplasties
  • Ileal pouch anal anastomosis (IPAA)
  • Surgical treatment of abscesses and fistulas

We perform the majority of our procedures using minimally invasive techniques that reduce pain, time in the hospital and get patients back to work as soon as possible.

Our newest surgeon, Dr. Lisa Poritz, spent 17 years taking care of surgical patients with IBD at a high volume IBD center in Pennsylvania prior to moving to Portland and joining the practice in 2017.

Please don’t hesitate to call our office if you have any questions about surgery for IBD: (971) 254-9884.

Below are some of the articles on IBD published by our surgeons

Chronic use of PPI and H2 antagonists decreases the risk of pouchitis after IPAA for ulcerative colitis.
Poritz LS, Sehgal R, Berg AS, Laufenberg L, Choi C, Williams ED.
J Gastrointest Surg. 2013 Jun;17(6):1027-31.

Infliximab and/or azathioprine in the treatment of Crohn's disease-like complications after IPAA.
Haveran LA, Sehgal R, Poritz LS, McKenna KJ, Stewart DB, Koltun WA.
Dis Colon Rectum. 2011 Jan;54(1):15-20.

Management of peristomal pyoderma gangrenosum.
Poritz LS, Lebo MA, Bobb AD, Ardell CM, Koltun WA.
J Am Coll Surg. 2008 Feb;206(2):311-5.

Percutaneous drainage and ileocolectomy for spontaneous intraabdominal abscess in Crohn's disease.
Poritz LS, Koltun WA.
J Gastrointest Surg. 2007 Feb;11(2):204-8.

How should complex perianal Crohn's disease be treated in the Remicade era.
Poritz LS.
J Gastrointest Surg. 2006 May;10(5):633-4.

Intravenous cyclosporine for the treatment of severe steroid refractory ulcerative colitis: what is the cost?
Poritz LS, Rowe WA, Swenson BR, Hollenbeak CS, Koltun WA.
Dis Colon Rectum. 2005 Sep;48(9):1685-90.

Surgical management of entero and colocutaneous fistulae in Crohn's disease: 17 year's experience.
Poritz LS, Gagliano GA, McLeod RS, MacRae H, Cohen Z.
Int J Colorectal Dis. 2004 Sep;19(5):481-5; discussion 486.

Surgical management of ulcerative colitis in the presence of primary sclerosing cholangitis.
Poritz LS, Koltun WA.
Dis Colon Rectum. 2003 Feb;46(2):173-8.

Remicade does not abolish the need for surgery in fistulizing Crohn's disease.
Poritz LS, Rowe WA, Koltun WA.
Dis Colon Rectum. 2002 Jun;45(6):771-5.

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