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Updated: Aug 23, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
[Surgical therapy of Crohn's disease: observations on 63 patients]
A Rossi1, N Sforza, G Landolfo
1Dipartimento Misto di Chirurgia Generale e Specialità Chirurgiche, Facoltà di Medicina e Chirurgia, Università degli Studi di Modena e Reggio Emilia, Modena. rossia@unimo.it
Aim:
The purpose of our retrospective study is to evaluate the correct indications for the surgical therapy of Crohn's disease.
Methods:
Our case series consists of 63 patients admitted to our Surgery Department from January 1, 1973 to December 2002 with a diagnosis of Crohn's disease. Of the 56 operated patients, 43 patients were followed-up. For an objective evaluation of the Crohn's disease activity, the Crohn's Disease Activity Index (CDAI) was used. Surgical treatment has been carried out in 56 cases: in 29 cases of intestinal occlusion a minimal gut resection was performed; in the 26 cases of perforation a suture of the perforation was preferred, with a drainage of the peritoneal cavity and a toilette of abscess when it was present, and in 1 case an ileocolic resection was performed.
Results:
Only 1 case showed a CDAI score >150 (153.63). This shows that in all the other cases the surgical and medical treatment has led to a satisfactory control of the disease. A relapse has been observed in 17 patients after an average period of 5 years without showing signs of disease.
Conclusion:
It is suggested that Crohn's disease therapy should be mainly of a medical nature and surgical treatment should be reserved for complicated cases.
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