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Assoc. Prof. Cengiz Dibekoğlu, MD

General Surgeon · Laparoscopic · Robotic · Oncologic Surgery

IBD surgery

Inflammatory Bowel Disease Surgery

Crohn's, ulcerative colitis, colectomy, permanent stoma, and ileal pouch

IBD surgery is not failure — in selected patients it is the best control pathway.

Crohn's disease and ulcerative colitis are usually controlled with medicines. The goals of surgery differ: in UC, total proctocolectomy can remove diseased colonic and rectal mucosa; in Crohn's, surgery treats complications such as stricture, fistula, abscess, or obstruction — but disease can recur elsewhere, so postoperative medical follow-up continues. This hub is separate from diverticular disease and from the stoma living guide (pouch and skin skills). Perianal Crohn's fistula care remains linked from the anal fistula hub.

IBD surgery · educational illustration

Educational schematic. Some structures may be simplified or emphasized for clarity; not an exact anatomical depiction.

© Cengiz Dibekoğlu — illustrative; not for unauthorized use

Figure summary

  • Hero figure: Crohn's segment resection, UC proctocolectomy, permanent ileostomy and J-pouch pathways.
  • Related chapters cover surgery options and living with an ileal pouch.

Educational figures

Tap a figure to enlarge. These English illustrations mirror the Turkish hub gallery for this condition.

  • Surgery options

    Educational schematic. Some structures may be simplified or emphasized for clarity; not an exact anatomical depiction.

    © Cengiz Dibekoğlu — illustrative; not for unauthorized use

  • J-pouch

    Educational schematic. Some structures may be simplified or emphasized for clarity; not an exact anatomical depiction.

    © Cengiz Dibekoğlu — illustrative; not for unauthorized use

  • Crohn's

    Segment resection; recurrence possible.

  • UC

    Total proctocolectomy can be curative.

  • J-pouch

    Selected UC patients — staged care.

  • Stoma living

    Bag skills live in a separate guide.

What to know

  • What this hub covers

    When surgery is discussed, Crohn's versus UC pathways, permanent ileostomy versus J-pouch, and postoperative themes. For pouch changes and skin care, use the Stoma Living Guide. For perianal Crohn's fistula, see the anal fistula Crohn's chapter.

  • Not diverticulitis

    Key note inside
    Note: Wrong label means the wrong pathway.

    Diverticulitis is inflammation of a diverticulum; IBD is chronic mucosal inflammation. Diagnosis and surgery plans differ — see the diverticular-disease hub.

  • Shared decisions

    Gastroenterology, surgery, and stoma nursing plan together. Emergencies such as perforation or toxic megacolon are not delayed for “one more medicine trial.”

What happens next

Crohn's versus UC, colectomy, permanent stoma, and J-pouch

Colorectal surgery7 chapters

Patient education videos

From Dr. Dibekoğlu’s official YouTube channel.

All videos →

  • Do not underestimate abdominal pain

Evidence

Scientific sources

Show sources · 2

Guideline framing for IBD surgery indications and stoma / pouch options.

  1. 1. ASCRS clinical practice guidelines libraryAmerican Society of Colon & Rectal Surgeons (ASCRS) · Guideline libraryOpen source →
  2. 2. WOCN Society — ostomy and continence nursing education resourcesWound, Ostomy, and Continence Nurses Society (WOCN) · Educational resourcesOpen source →

Last reviewed: 21 August 2026. Links go to publisher pages.

Appointment / info

Bring pathology, medication lists, and prior operative notes — we clarify stoma versus pouch options together.

+90 542 725 50 70WhatsAppTumor boardFull Turkish hub →

This page is for education. It is not medical advice and does not replace a visit with your physician.

Medical editor: Assoc. Prof. Cengiz Dibekoğlu, MD · English patient-education hub.

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