[Surgical treatment of Crohn disease and ulcerative colitis in standardized conditions]

Crohn's disease and colitis ulcerosa are marked by a high periintestinal infection rate as well as catabolism with negative protein balance. To eliminate these factors the principle of withdrawing the intestinal function has been applied. Patients are put on a completely absorbable diet (2,500-3,500 kcal/d) using a thin duodenal (or jejunal) tube for 4-6 weeks. Depending on the initial condition, assistant or total parenteral nutrition is performed. - 203 patients with Crohn's disease (n = 154) or colitis ulcerosa (n = 49) underwent elective surgery from January 1st, 1978 to April 30th, 1985. Using the preparation of withdrawing the intestinal function 85.7% of the patients have had an uncomplicated postoperative course. Septic complications were found in 12.8%, non-septic in 1.5%. The rate of mortality was 1.0%. In the case of Crohn's disease complications occurred in 10.4%, mortality was 0.6%.