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Inflammatory Bowel Disease (IBD)

Diagnosis, management & treatment

Managing Inflammatory Bowel Disease (IBD), such as Crohn’s Disease and Ulcerative Colitis, requires a highly coordinated, multidisciplinary approach. Surgery is often a vital component of long-term management, used to treat complications or restore quality of life when medical therapies are no longer sufficient.

Expert diagnosis, treatment and management of IBD

Mr Nizar works in close collaboration with consultant gastroenterologists to ensure surgical intervention is timed perfectly. Whether the requirement is a bowel resection, the management of strictures, or the creation and closure of a stoma,

Mr Nizar utilizes minimally invasive techniques. The goal is always the same: to remove the diseased segment of the bowel while preserving as much function as possible, helping patients return to a life unburdened by the symptoms of IBD.

Specialist Inflammatory Bowel Disease (IBD) Treatment

What is Inflammatory Bowel Disease?

Inflammatory Bowel Disease (IBD) is a term used to describe chronic inflammation of the gastrointestinal (GI) tract. It is a long-term condition that involves periods of flare-ups and remission. Managing IBD requires expert, highly personalised care to control inflammation, alleviate symptoms, and improve your quality of life. Mr Nizar provides comprehensive assessment, diagnostic investigations (including colonoscopy), and both medical and surgical management for the two main types of IBD.

Crohn’s Disease:

This type of IBD can cause inflammation anywhere along the digestive tract, from the mouth to the anus, though it most commonly affects the small intestine and the beginning of the large bowel. The inflammation often penetrates deep into the layers of the affected bowel wall.

Crohn's disease with colon large intestine cross section viewchrons disease types

Ulcerative Colitis:

Unlike Crohn’s disease, Ulcerative Colitis is strictly limited to the large intestine (colon and rectum). The inflammation affects only the innermost lining of the bowel, causing long-lasting inflammation and ulcers.

Icerative colitis is a long-term inflammatory bowel disease (IBD) that causes inflammation and sores, called ulcers, in the innermost lining of the large intestine (colon) and rectum.

Mr Shiyam Nizar, London Bowel Doctor, treatment of Ulcerative Colitis at Frimley, Surrey, London
Different types of ulcerative colitis types. Labeled ulcerative

Why specialist intervention is needed:

IBD is a complex condition that changes over time. Without proactive management, chronic inflammation can lead to complications such as strictures (narrowing of the bowel), fistulae (abnormal channels), or a severe flare-up that doesn't respond to medication. Early diagnostic monitoring via endoscopy or colonoscopy, combined with a tailored treatment strategy, is vital to prevent long-term bowel damage and minimize the need for emergency intervention.

How IBD is treated:

As a Consultant Colorectal Surgeon, Mr Nizar works closely with gastroenterology multidisciplinary teams to offer a comprehensive approach, combining medical management with advanced surgical options when required.

  • Medical & Lifestyle Management: Optimising medications to induce and maintain remission, alongside targeted dietary and lifestyle advice.

  • Minimally Invasive (Keyhole) Surgery: If surgery is required to remove a damaged section of bowel, Mr Nizar utilises advanced Laparoscopic and Robotic techniques.

  • This minimal-access approach results in smaller scars, significantly less post-operative pain, a lower risk of complications, and a faster return to your normal daily routine.

Aftercare & Recovery:

Your recovery plan is entirely individualised based on your specific treatment path. For those undergoing minimally invasive bowel surgery, Mr Nizar’s role as the Lead for Colorectal Enhanced Recovery ensures you will benefit from modern, evidence-based protocols designed to get you back on your feet safely and swiftly. Continuous follow-up and virtual or face-to-face consultations provide ongoing support through every stage of your health journey.

Tailored Colorectal Solutions

There is no “one size fits all” approach to managing Inflammatory Bowel Disease. Mr Nizar offers a bespoke service tailored to your specific symptoms, disease severity, and lifestyle goals. By combining state-of-the-art diagnostic colonoscopy with cutting-edge robotic and laparoscopic surgical options, he ensures that your treatment is as non-invasive and effective as possible. Whether you require a consultation for a new diagnosis, a second opinion, or surgical advice, the focus is on achieving long-term remission and restoring your peace of mind.

Patient consultations with Mr Shiyam Nizar, Consultant Colorectal & General Surgeon, London Bowel Doctor, Frimley, Surrey, South West London
Expert Care for Your Digestive Health

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Specialist Colorectal and General Surgeon Mr Shiyam Nizar, Consultant Colorectal and General Surgeon sees both insured and non-insured patients. He offers a range of treatments for colorectal conditions, with expert care for bowel cancer, haemorrhoids, and hernias.