The indications are mostly in Crohn s disease, for perianal disease, mild to moderate colitis, ileocolitis and possibly ileitis. Obviously if something upsets your stomach, don t eat it. It s hard to convince patients of this sometimes. But it is also a therapy. Active IBD may lead to poor nutrition and poor nutrition really Smoking is a very important issue in inflammatory bowel disease as more and more evidence comes to light.
Smoking is bad for Crohn s disease and seems to be somewhat protective against ulcerative colitis.
Smokers with The indications for surgery are very important. Surgical options, as you probably know, include conventional ileostomy, continent ileostomy or Koch pouch and the ileo-anal anastomosis with reservoir, which can be very rewarding for patients to regain normal continence, provided you have a surgeon with extensive experience. Postoperative recurrence is the rule in Crohn s disease.