CHRONIC BOWEL INFLAMMATION
Inflammatory Bowel Disease (IBD)
A group of chronic conditions — mainly Crohn's disease and ulcerative colitis — that cause long-standing inflammation of the digestive tract, leading to abdominal pain, diarrhoea, weight loss, and fatigue.
ABOUT THIS CONDITION
What is Inflammatory Bowel Disease (IBD)
Inflammatory Bowel Disease (IBD) is an umbrella term for chronic inflammatory conditions of the digestive tract, mainly Crohn's disease and ulcerative colitis. While ulcerative colitis is limited to the colon and rectum, Crohn's disease can affect any part of the digestive system from mouth to anus, often in patchy, deep-layered involvement. Patients experience recurrent abdominal pain, diarrhoea (sometimes bloody), weight loss, fatigue, anaemia and sometimes perianal complications such as fistulas. Diagnosis involves a combination of blood tests, stool tests, colonoscopy with biopsies, and imaging. Most patients are managed with long-term medical therapy. Surgery becomes essential in cases of strictures, fistulas, abscesses, perforation, bleeding, or failure of medication. Dr. Tejasree Vengala offers comprehensive IBD surgical care at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Abnormal immune response in the digestive tract
- Genetic predisposition and family history of IBD
- Environmental factors and altered gut microbiome
- Smoking — protective for UC but worsens Crohn's
- Use of certain medications and dietary triggers
- Stress as a flare-up trigger, not a primary cause
CLINICAL DETAILS
KeyFacts
Crohn's disease (any part of GI tract) or Ulcerative colitis (colon and rectum only).
Ileocecal Resection, Stricturoplasty, Segmental Bowel Resection.
For strictures, fistulas, abscesses, perforation, bleeding or medication failure.
Stricturoplasty preserves bowel length in patients with multiple Crohn's strictures.
Most patients recover within 4–6 weeks after laparoscopic surgery.
Available at Lux Hospitals, Hitech City, Hyderabad.
HOW WE TREAT IT
Treatment Approach
Laparoscopic Ileocecal Resection
Dr. Tejasree Vengala performs laparoscopic ileocecal resection — the most common surgery for Crohn's disease affecting the terminal ileum and caecum. Removing the diseased segment with a minimally invasive approach offers excellent symptom relief, reduced medication needs, and a quick return to a near-normal life.
- 1
Consultation & Assessment
Dr. Tejasree reviews previous reports, performs colonoscopy and imaging (CT or MR enterography), and assesses overall fitness and nutritional status.
- 2
Treatment Planning
Surgical strategy is planned in coordination with medical gastroenterology — preserving as much healthy bowel as possible and addressing complications.
- 3
Procedure
The chosen procedure is performed laparoscopically when possible — ileocecal resection, stricturoplasty or segmental resection — under general anaesthesia.
- 4
Recovery & Follow-up
Hospital stay is typically 4–6 days. Long-term care includes nutritional support, regular monitoring, and continuation of appropriate medical therapy.
AVAILABLE TREATMENTS
Treatment Options
Ileocecal Resection
Removal of the diseased terminal ileum and caecum — the most common surgery in Crohn's disease, often performed laparoscopically.
Stricturoplasty
A bowel-sparing procedure that widens a strictured segment without removing it — useful in Crohn's disease with multiple strictures to preserve bowel length.
Segmental Bowel Resection
Removal of a localised diseased segment of small or large bowel — performed when stricturoplasty is not feasible or in complicated disease.
COMMON QUESTIONS
Frequently Asked Questions
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