Background: In the treatment of Inflammatory Bowel Diseases (IBD) despite advances in
medical therapies, surgery has maintained a leading role in the management of complications of the
disease, as well as in cases of failure of medical therapy.
Objective: discuss the possible role for a personalization in debated fields of surgical treatment of
Crohn's disease and ulcerative colitis.
Conclusions: Surgery has become more and more minimally invasive, struggling for a difficult balance between
guidelines and personalized treatment tailored on the single patient's need. There is no room for fixed
management for surgery in IBD. A tailored approach is key to better outcome in each specific patient.
Keywords: Crohn's disease, inflammatory bowel disease, surgery, personalization, tailored surgery, ulcerative colitis.
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