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Inflammatory Bowel Disease

How does Inflammatory Bowel Disease affect me?
Dr Dennis Koh
Dr Dennis Koh
Medical Director & Senior Consultant Colorectal Surgeon
MBBS (Nottingham), B Med Sci (Nottingham), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Sharon Koh
Dr Sharon Koh
Senior Consultant Colorectal Surgeon
MBBS (Singapore), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Pauleon Tan
Dr Pauleon Tan
Senior Consultant Colorectal Surgeon
MBBS (Singapore), MMed (Surgery), FRCS (Edinburgh), FAMS

As its name suggests, inflammatory bowel disease refers to a group of conditions that cause inflammation in the digestive tract. The two most common IBDs are ulcerative colitis and Crohn’s disease. If left untreated, IBD can lead to life-threatening complications such as colon cancer or bowel perforation.

To diagnose IBD, our colon surgeon will analyse your family and personal history of IBD and ask you about your bowel movements. Colonoscopy and biopsy may then be performed to confirm the diagnosis. Blood and stool exams may also be conducted alongside imaging tests to rule out other conditions.

Our clinic is committed to the effective treatment of IBD.
For a detailed evaluation, please contact us today.

What are the symptoms of IBD?

Inflammatory Bowel Disease typically manifests with the following symptoms:

Diarrhoea
Chronic abdominal pain or cramps
Fever
Fatigue
Loss of appetite
Weight loss
Blood in stool

Additionally, there are risk factors that may contribute to the possibility of contracting IBD. Age, cigarette use, family history and a weak immune system are some of the factors that can lead to the condition.

If you notice symptoms of IBD, seek medical attention immediately.
Our doctors are skilled in providing tailored IBD treatments to improve our patients’ quality of life.

Treatment for Inflammatory Bowel Disease (IBD)

Depending on the severity of your condition, nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics and immune suppressants may be prescribed to lower the inflammation and stave off further complications.

You should aim to make lifestyle changes such as quitting smoking, drinking more water and increasing your frequency of exercise. It is also recommended to adopt a high-fibre diet to prevent further stress on the digestive tract and ease bowel movements.

In severe cases of IBD, colon surgery may be required and we may remove part or all of the inflamed intestine. The type of surgery depends on a few factors; whether you have Crohn’s disease or ulcerative colitis, the location of the disease in your intestines, any complications you face and the severity of your illness.

If you have Crohn’s disease or ulcerative colitis, different surgical methods will be required to help treat your IBD.

Resection
The diseased and damage portion of the tract will be removed, and the remaining two ends will be combined with either stitches or staples. This can be used on both the small and large intestines to regain regular bowel movements.
Strictureplasty
This is a method of stitching that is used to expand the narrow portions of the small intestine to allow for food to pass. Because the length of the intestine is not affected, nutrient absorption is not significantly affected.
Proctocolectomy
This refers to the removal of the rectum and all or part of the colon. Often a last resort, patients who undergo this will have to pass waste using a stoma that is attached to an opening on their lower abdomen.
Because IBD presents a higher risk of developing colon cancer, we recommend that regular and timely colonoscopies be scheduled to monitor for potential colon cancer development.
Dr Dennis Koh
Dr Dennis Koh
Medical Director & Senior Consultant Colorectal Surgeon
MBBS (Nottingham), B Med Sci (Nottingham), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Dennis Koh is a colorectal surgeon specialising in minimally invasive and advanced endoscopic techniques. He trained in Singapore and Switzerland, where he focused on proctology and pelvic floor disorders. A Fellow of the Royal College of Surgeons of Edinburgh and the Academy of Medicine, Singapore, Dr Koh is also passionate about teaching, having served as Assistant Professor at Duke-NUS and Clinical Senior Lecturer at NUS.
About Dr Dennis Koh
Dr Sharon Koh
Dr Sharon Koh
Senior Consultant Colorectal Surgeon
MBBS (Singapore), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Sharon Koh is a fellowship-trained colorectal surgeon with expertise in minimally invasive surgery, advanced endoscopy, and inflammatory bowel disease. She trained in advanced colorectal surgery at Cedars-Sinai Medical Center (USA) and Japan. Formerly Director of Endoscopy at Alexandra Health, she also lectures at NUS and is an active member of local and international colorectal societies like the European Society of Coloproctology.
About Dr Sharon Koh
Dr Pauleon Tan
Dr Pauleon Tan
Senior Consultant Colorectal Surgeon
MBBS (Singapore), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Pauleon Tan is an experienced colorectal surgeon focusing on minimally invasive surgery, advanced endoscopy and cancer care. After receiving the MOH Health Manpower Development Plan award, he trained in Japan, where he mastered advanced techniques to improve cancer outcomes. Dr Tan has held key roles such as Clinical Director of the Colorectal Cancer Screening Programme at KTPH and is dedicated to delivering patient-centred care.
About Dr Pauleon Tan
We Listen. We Treat. We Care.
Entrust your health and recovery to our dedicated team at Colorectal Practice today. From prompt consults to treatment and recovery, we are committed to seeing you through to a better quality of life.
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3 Mount Elizabeth, #12-14
Mount Elizabeth Medical Centre, Singapore 228510