chapter  12
Patients and IBD surgery: rightful fears and preconceptions
ByANTONINO SPINELLI, FRANCESCO PAGNINI
Pages 7

While people with infl ammatory bowel disease (IBD) have normal life expectancy when adequately treated (van der Eijk et al. 2000), quality of life (QoL) may be signifi cantly poorer than in the general population, in both the physical and psychological meaning (Keefer et al. 2012). Common IBD symptoms such as diarrhea, constipation, bloating, abdominal and perianal discomfort or pain, ulcers, and bleeding may lead to signifi cant psychosocial impairment. Ulcerative colitis (UC) and Crohn’s disease (CD) share symptoms, however, people who suffer from CD report more disease-related concerns and psychological distress and lower levels of QoL (Vogelaar et al. 2009).