Overview of Common Complications in Inflammatory Bowel Disease Surgery

Gastrointest Endosc Clin N Am. 2022 Oct;32(4):761-776. doi: 10.1016/j.giec.2022.05.011. Epub 2022 Sep 19.


The complication rate after surgery in patients with inflammatory bowel disease is high owing to chronic inflammatory and suboptimal physiologic state, the effect of steroids and immunosuppressive medication, and the inherent complexity of the surgical procedures. Although some of the complications after surgery are similar for Crohn disease and ulcerative colitis, others are specific to the diagnosis. Complications are divided into early postoperative and late complications. Specific complications are related to more extensive surgery such as a proctocolectomy or reoperative procedures or with complex reconstructive procedures such as the ileoanal pouch and continent ileostomy.

Keywords: Anastomotic bleeding; Anastomotic leak; Anastomotic stricture; Crohn disease; Inflammatory bowel disease; Postoperative complications; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Colitis, Ulcerative* / complications
  • Crohn Disease* / complications
  • Crohn Disease* / surgery
  • Humans
  • Ileostomy / adverse effects
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Proctocolectomy, Restorative* / adverse effects
  • Proctocolectomy, Restorative* / methods