Activity

RECTAL-BOWEL DISEASES CENTER AND PROCTOLOGY

CHRONIC INFLAMMATORY BOWEL DISEASES (IBD UNIT)

For the chronic inflammatory bowel diseases, the Center involves a multidisciplinary team (IBD Unit) composed by gastroenterologists, endoscopists, radiologists, pathologists-anatomists and surgeons. For the treatment of related diseases, the team collaborates with hepatologists, rheumatologists, dermatologists and ophthalmologists. The aim is providing the patient a complete and “custom-made” programme of diagnosis and care. Beside clinical activities, the Center is one of the few in Italy equipped with dedicated psychologist, sign of particular attention we pay to the psycho-physical wellbeing of our patients.
Moreover there is a particular sensitivity to nutritional and dietary aspects thanks to the support of dedicated dietician and gastroenterologist.

The most traditional therapies as mesalazine, cortisone, the immunosuppressors (e.g. azathioprine/ 6-mercaptopurine), some antibiotics acting on bacteria of digestive tract, and innovative therapies with new generation biological drugs are prescribed.

The Center collaborates strictly and daily with the Department of General Surgery, directed by Dr Giacomo Ruffo. High volumes of high-specialized surgeries for chronic inflammatory bowel diseases are carried out, also with laparoscopic approach and protocols for the postoperative management, optimizing the recovery after surgery and resumption of daily activities. In the postoperative phase, the Center involves specialized nurses for managing the stomia, for patients who need it. Furthermore there is a joint gastroenterologic-surgical outpatient clinic to assess the patients affected by Ileal Pouch-Anal Anastomosis (IPAA) for the follow-up.

Beside the clinical activities, the Center fosters numerous scientific research projects and collaborates with the major international reference Centers.

PROCTOLOGY

The Center is part of Italian Colorectal Surgery Society as Coloproctology Unit “Verona 2” and includes various specialists for diagnosis and care for disorders of all intestinal and pelvic compartment: surgeons, gastroenterologists, endoscopists, radiologists, gynecologists, urologists, neurologists and physiatricians. In our Center the patients can undergo specialized tests for the diagnosis of colon, rectum and anus disease to achieve accurate and precise diagnoses to ensure the effectiveness of treatment:

• Specialized proctologic examination and proctoscopy
• Clinical anorectal manometry and high-resolution anorectal manometry
• 360° Transanal ultrasound with dedicated probe
• High resolution anoscopy

Minimally invasive surgical treatments of anorectal diseases

• Hemorrhoids (treatments with Transanal Hemorrhoidal Dearterialisation THD- Ligasure- Hemorrhoidopexy -Laser)
• Acute and chronic rhagade
• Disorders of evacuation: proctocele, rectal prolapse, recto-anal intussusception (STARR surgery)
• Anal incontinence (sphincteral reconstructions with Gate Keeper and use of volumizing devices)
• Anal abscesses and complex fistulas (laser – VAAFT)
• Pilonidal sinus disease and fistulized pilonidal sinus disease (open-label and endoscopic EPSIT treatment)
• Assessment, treatment and follow-up of e follow-up of related Human Papillomavirus (HPV) disease

In case of minor proctologic pathology the operation is scheduled in day-surgery, or, if the clinical picture concerns major surgical pathologies, the Center will organize an ordinary admission; in the meantime the physiatric patients will undergo coloproctologic rehabilitation cycles.