ABSTRACT

Grossly bloody stools, occasionally with tenesmus, although typical of ulcerative colitis, are less common in Crohn's disease. Stools may be formed, but loose stools predominate if the colon or the terminal ileum is involved extensively. Various intestinal and extraintestinal manifestations of inflammatory bowel disease (IBD) may be observed in conjunction with either ulcerative colitis or Crohn's disease. Many IBD complications can occur with either ulcerative colitis or Crohn's disease. The most straightforward surgery for Crohn's disease is segmental resection of a portion of intestine with active Crohn's disease or a stricture, and anastomosis of the remaining bowel. Extraintestinal complications occur in approximately 20% of patients with IBD. In patients who have Peutz–Jeghers’s syndrome and chronic sinusitis, endoscopic evaluation for possible nasal polyposis may be required. Polypectomy with serial review is needed for an isolated polyp in children presenting with intussusception.