Inflammatory bowel disease associated neoplasia: A surgeon’s perspective

Table 3 Recommended procedures for patients with inflammatory bowel disease-associated neoplasia

Procedure type	Indications	Relative contraindications
Total proctocolectomy with end ileostomy	UC, CD refractory disease or neoplasia	None
Restorative proctocolectomy (RP) with Ileoanal pouch	UC	Fecal incontinence
		Direct sphincter invasion by tumor
		Stage IV CRC
Subtotal colectomy with ileorectal anastomosis	UC or CD with contraindication for RP	Rectal neoplasia
		Active rectal inflammation
Segmental resection	UC or CD with Unifocal dysplasia or cancer and no active disease	Acute or chronic colonic inflammation
	CRC with comorbidity and age > 65 yr
Diverting ostomy	UC or CD with Stage IV CRC with obstruction and/or severe comorbidity	None

RP: Restorative proctocolectomy; UC: Ulcerative colitis; CD: Crohn’s disease.